The Urology Team PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

174400000X Issued in TX

Legal business name

THE UROLOGY TEAM PA

Practice address

11410 Jollyville Rd
Suite 1101
Austin, TX 78759-4097

Phone

(512) 231-1456

Fax

(512) 231-7059

NPI assigned

Sep 27, 2005

Organization subpart

Yes

Parent organization

THE UROLOGY TEAM PAAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carolyn Sue Zell, CPC

Title

Account Manager

Phone

(512) 231-1456

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

The Urology Team PA

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1659367340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11410 JOLLYVILLE RD",
            "address_2": "SUITE 1101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594097",
            "telephone_number": "512-231-1444",
            "fax_number": "512-231-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11410 JOLLYVILLE RD",
            "address_2": "SUITE 1101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594097",
            "telephone_number": "512-231-1456",
            "fax_number": "512-231-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE UROLOGY TEAM PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE UROLOGY TEAM PA",
        "enumeration_date": "2005-09-27",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "ZELL",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "512-231-1456",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "174400000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CE8100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD TX",
            "identifier": "0033BR",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Austin, TX
• Providers in Austin, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.