Organization Active NPI

Gulf Urology of Englewood

  • Urology Physician
  • Englewood, FL
National Provider Identifier
1730575002
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
OS13122 Issued in FL
Legal business name
GULF UROLOGY OF ENGLEWOOD
Practice address
2061 Englewood Rd
Suite 3
Englewood, FL 34223-1749
Phone
(941) 473-1900
Fax
(941) 475-0801
NPI assigned
Apr 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Authorized official

Name
Dr. Scott T Martz, D.O.NPI 1992989776
Title
Physician/Owner
Phone
(941) 473-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X OS13122 FL Primary

Addresses

Primary practice location

2061 Englewood Rd
Suite 3
Englewood, FL 34223-1749

Mailing address

2061 Englewood Rd
Suite 3
Englewood, FL 34223-1749
Phone (941) 473-1900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160201000242 FL Part B Supplier - Clinic/Group Practice 0648574335 Receives reassigned benefits from 1 practitioner
Practice locations: Englewood, FL

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

900 Pine St
Ste 1234
Englewood, FL 34223

2061 Englewood Rd
Ste 3A
Englewood, FL 34223
Phone (941) 474-4061

2061 Englewood Rd
Ste 3
Englewood, FL 34223
Phone (941) 473-1900

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.860664

Practitioners & affiliated clinicians

Practitioners 1

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": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1730575002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 ENGLEWOOD RD",
            "address_2": "SUITE 3",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342231749",
            "telephone_number": "941-473-1900",
            "fax_number": "941-475-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 ENGLEWOOD RD",
            "address_2": "SUITE 3",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342231749",
            "telephone_number": "941-473-1900",
            "fax_number": "941-475-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF UROLOGY OF ENGLEWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "MARTZ",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "941-473-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "FL",
            "license": "OS13122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.