Urogynecology Consultants PLLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

36345 Issued in KY

Legal business name

UROGYNECOLOGY CONSULTANTS PLLC

Practice address

4121 Dutchmans LN
Ste 307
Louisville, KY 40207-4707

Phone

(502) 409-5600

Fax

(502) 409-5606

NPI assigned

May 12, 2010

Organization subpart

No

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

Authorized official

Name

Carol A Graham, M.D.

Title

Office Manager

Phone

(502) 409-5600

Specialties & licenses 4

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather S Lange, APRN

  • Nurse Practitioner
  • Louisville, KY
  • NPI 1861435521
  NPD (past)

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1659699916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950136",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950136",
            "telephone_number": "502-429-8505",
            "fax_number": "502-429-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 DUTCHMANS LN",
            "address_2": "STE 307",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074707",
            "telephone_number": "502-409-5600",
            "fax_number": "502-409-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROGYNECOLOGY CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "502-409-5600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "KY",
            "license": "36345",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "KY",
            "license": "36345",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000666770",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martin Urbaniak
• Kelli Marie Urbas, OTRL
• Peter Joseph Urda, D.O.
• Urgent Dental Care of East Louisville, LLC
• Angela M Urhammer, APRN
• Urogynecology Specialists of Kentuckiana
• Urology Care, LLC
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• Amy Marie Usher, PH.D.

• All providers in Louisville, KY
• Gynecology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.