Urohealth Institute, L.L.C.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

UROHEALTH INSTITUTE, L.L.C.

Practice address

2005 Jacobssen Dr
Suite a
Normal, IL 61761-6279

Phone

(309) 888-4000

Fax

(309) 888-4144

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bennett P Scaglia, M.D.

Title

Medical Director

Phone

(309) 888-4000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710020052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 JACOBSSEN DR",
            "address_2": "SUITE A",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616279",
            "telephone_number": "309-888-4000",
            "fax_number": "309-888-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 JACOBSSEN DR",
            "address_2": "SUITE A",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616279",
            "telephone_number": "309-888-4000",
            "fax_number": "309-888-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROHEALTH INSTITUTE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCAGLIA",
        "authorized_official_first_name": "BENNETT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "309-888-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Leann Tyra, M.S., CCC-SLP
• Motoko Ugajin, ATC
• Lola Oladini Umebuani, MD/MBA
• Matthew Simon Unger
• Unnati Upadhyay, MD
• Bhanu K Vakkalanka, M.D.
• James Steven Vales, M.D.
• Ashton Van Heemst
• Katherine Van Horn, LCSW
• Erica Leigh Vanover, LAT, ATC

• Ambulatory Surgical Clinic/Center in Normal, IL
• Providers in Normal, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.