Organization Active NPI

Salina Urology Associates PA

  • Urology Physician
  • Salina, KS
National Provider Identifier
1689611436
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
SALINA UROLOGY ASSOCIATES PA
Practice address
218 S Santa Fe Ave
Salina, KS 67401-3932
Phone
(785) 827-9635
Fax
(785) 827-6697
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Authorized official

Name
Holly Hageman
Title
Administrator
Phone
(785) 827-9635

Specialties & licenses 1

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

Addresses

Primary practice location

218 S Santa Fe Ave
Salina, KS 67401-3932

Mailing address

218 S Santa Fe Ave
Salina, KS 67401-3932
Phone (785) 827-9635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040401000858 KS Part B Supplier - Clinic/Group Practice 9638161391 Receives reassigned benefits from 8 practitioners
Practice locations: Salina, KS; Russell, KS; Osborne, KS; McPherson, KS; Hutchinson, KS; Great Bend, KS; Hillsboro, KS; Abilene, KS…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0452311Salina Urology Associates PA218 S Santa Fe, Salina, KS 67401Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1301 W 12th Ave
Ste 201
Emporia, KS 66801
Phone (620) 341-9000

2020 N Waldron St
Hutchinson, KS 67502
Phone (316) 663-6780

222 S Kansas St
Russell, KS 67665
Phone (785) 483-3333

218 S Santa Fe Ave
Salina, KS 67401
Phone (785) 530-6755

Interoperability endpoints

  • Direct secure messaging: juliannerathbun@salinauro.medalliesdirect.net
  • Direct secure messaging: williammauch@salinauro.medalliesdirect.net
  • Direct secure messaging: ryanpayne@salinauro.medalliesdirect.net
  • Direct secure messaging: briansmith@salinauro.medalliesdirect.net
  • Direct secure messaging: bridgettecrosson@salinauro.medalliesdirect.net
  • Direct secure messaging: michaelmatteucci@salinauro.medalliesdirect.net
  • Direct secure messaging: aprilleonard@salinauro.medalliesdirect.net

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1689611436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 S SANTA FE AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674013932",
            "telephone_number": "785-827-9635",
            "fax_number": "785-827-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 S SANTA FE AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674013932",
            "telephone_number": "785-827-9635",
            "fax_number": "785-827-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALINA UROLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "HAGEMAN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "785-827-9635"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.