Jasper Urology Associates

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

G7787 Issued in TX

Legal business name

JASPER UROLOGY ASSOCIATES

Practice address

215 E Water St
Jasper, TX 75951-4440

Phone

(409) 384-6835

Fax

(409) 384-4159

NPI assigned

Jul 6, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Maged Ramzy Botros, MD

Title

President ( Owner )

Phone

(409) 384-6835

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1659378602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E WATER ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514440",
            "telephone_number": "409-384-6835",
            "fax_number": "409-384-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E WATER ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514440",
            "telephone_number": "409-384-6835",
            "fax_number": "409-384-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASPER UROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-06",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "BOTROS",
        "authorized_official_first_name": "MAGED",
        "authorized_official_middle_name": "RAMZY",
        "authorized_official_title_or_position": "PRESIDENT ( OWNER )",
        "authorized_official_telephone_number": "409-384-6835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "TX",
            "license": "G7787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID NUMBER",
            "identifier": "45D0484054",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141628101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasper Family Medicine
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• Jasper Isd
• Jasper Newton County Public Health District
• Jasper Nursing and Rehabilitation LP
• Jasper-Ara Dialysis L.L.P.
• JFHW Rural Clinic PA
• JHS Operations, LLC
• Jordan Health Service Pas - Hemphill
• Jordan Health Services Pas-Hemphill

• Urology Physician in Jasper, TX
• Providers in Jasper, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.