Active NPI
Rocky Mountain Urology,LLC
- Pediatric Urology Physician
- Columbus, WI
National Provider Identifier
1689871451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- License
- 7089
- Legal business name
- ROCKY MOUNTAIN UROLOGY,LLC
- Practice address
- 1511 Park Ave
Suite F
Columbus, WI 53925-2401 - Phone
- (920) 623-9970
- Fax
- (920) 623-9970
- NPI assigned
- Jun 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Ervin Kuglitsch, MD
- Title
- Owner
- Phone
- (920) 623-9970
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Urology Physician | 2088P0231X | 7089 | MT | Primary |
Addresses
Primary practice location
1511 Park Ave
Suite F
Columbus, WI 53925-2401
Mailing address
1511 Park Ave
Suite F
Columbus, WI 53925-2401
Phone (920) 623-9970
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0020103002 | Medicaid | ID | |
| 8N223 | Other | ID | BC IDAHO |
| 000010154126 | Other | ID | REGENCY BLUE SHIELD OF ID |
| DB7643 | Other | MT | RAILROAD MEDICARE |
| 0081226 | Medicaid | MT | |
| 30673100 | Medicaid | WI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Hospitalist Physician
- Madison, WI
- NPI 1497315923
-
- Cardiovascular Disease Physician
- Columbus, WI
- NPI 1013910645
-
- Internal Medicine Physician
- Columbus, WI
- NPI 1346243821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1689871451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1511 PARK AVE",
"address_2": "SUITE F",
"city": "COLUMBUS",
"state": "WI",
"postal_code": "539252401",
"telephone_number": "920-623-9970",
"fax_number": "920-623-9970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1511 PARK AVE",
"address_2": "SUITE F",
"city": "COLUMBUS",
"state": "WI",
"postal_code": "539252401",
"telephone_number": "920-623-9970",
"fax_number": "920-623-9970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKY MOUNTAIN UROLOGY,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-27",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "KUGLITSCH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "ERVIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "920-623-9970",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2088P0231X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology, Pediatric Urology",
"state": "MT",
"license": "7089",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0020103002",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC IDAHO",
"identifier": "8N223",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCY BLUE SHIELD OF ID",
"identifier": "000010154126",
"state": "ID"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DB7643",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0081226",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30673100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.