Organization Active NPI

Urology Center, PC

  • Non-Pharmacy Dispensing Site
  • Omaha, NE
National Provider Identifier
1669946398
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
UROLOGY CENTER, PC
Practice address
105 S 90TH St
Omaha, NE 68114-3963
Phone
(402) 397-9800
Fax
(402) 397-7591
NPI assigned
Jan 16, 2019
Organization subpart
Yes
Parent organization
UROLOGY CENTER, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

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

Authorized official

Name
Laura J. Forehead
Title
Administrator
Phone
(402) 397-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

105 S 90TH St
Omaha, NE 68114-3963

Mailing address

111 S 90TH St
Omaha, NE 68114-3907
Phone (402) 397-9800

Other names 1

  • Urology Center, PC - IOD Other name

National Provider Directory

National Provider Directory
Tax ID family
The Urology Center PC ASC3 organizations share this tax ID, including this one
Part of
The Urology Center PC ASC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1669946398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143907",
            "telephone_number": "402-397-9800",
            "fax_number": "402-397-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143963",
            "telephone_number": "402-397-9800",
            "fax_number": "402-397-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY CENTER, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UROLOGY CENTER, PC",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "FOREHEAD",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-397-9800"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urology Center, PC - IOD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.