Organization Active NPI

Jasper Urology Associates

  • Urology Physician
  • Jasper, TX
National Provider Identifier
1659378602
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jun 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
Dr. Maged Ramzy Botros, MDNPI 1669479598
Title
President ( Owner )
Phone
(409) 384-6835

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X G7787 TX Primary

Addresses

Primary practice location

215 E Water St
Jasper, TX 75951-4440

Mailing address

215 E Water St
Jasper, TX 75951-4440
Phone (409) 384-6835

National Provider Directory

National Provider Directory

Locations

215 E Water St
Jasper, TX 75951
Phone (409) 384-6835

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, TX

Sources for this page

  • 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.