West Cobb Urology, PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

29366 Issued in GA

Legal business name

WEST COBB UROLOGY, PC

Practice address

1605 Mulkey Rd
BLDG 2, Suite 210
Austell, GA 30106-1127

Phone

(770) 739-2474

Fax

(770) 944-6357

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Philip R Rast, M.D.NPI 1437265683

Title

President

Phone

(770) 739-2474

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Philip Rentz Rast, M.D.

  • Urology Physician
  • Austell, GA
  • NPI 1437265683
  NPD (past) Authorized official
• Brian E Hill, M.D.

  • Urology Physician
  • Atlanta, GA
  • NPI 1932208238
  NPD (past)
• Robert H Jefferson III, MD

  • Urology Physician
  • Atlanta, GA
  • NPI 1831292283
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1689780835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 MULKEY RD",
            "address_2": "BLDG 2, SUITE 210",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061127",
            "telephone_number": "770-739-2474",
            "fax_number": "770-944-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 MULKEY RD",
            "address_2": "BLDG 2, SUITE 210",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061127",
            "telephone_number": "770-739-2474",
            "fax_number": "770-944-6357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COBB UROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "RAST",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-739-2474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "GA",
            "license": "29366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellstreet of Georgia PC (Piedmont Urgent Care by Wellstreet)
• Wellstreet of Georgia PC (Piedmont Urgentcare by Wellstreet)
• Michael Jerome Wenclawiak, PT
• West Atlanta Endodontics
• West Cobb Modern Endodontics
• West Georgia Infectious Diseases
• Brandon D West, PA
• Westside Endoscopy Center PC
• Westside Hospice & Palliative Care, LLC
• Zachary Richard Wetendorf, M.D.

• Urology Physician in Austell, GA
• Providers in Austell, GA by specialty
• Urology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.