Rocky Mountain Urology LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

24077 Issued in WI

Legal business name

ROCKY MOUNTAIN UROLOGY LLC

Practice address

1511 Park Ave
Suite F
Columbus, WI 53925-2401

Phone

(920) 623-9970

Fax

(920) 623-9989

NPI assigned

Dec 18, 2006

Organization subpart

No

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 Employee

Phone

(920) 623-9970

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1740343359",
    "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": "920-623-9989"
        },
        {
            "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": "920-623-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN UROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "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 EMPLOYEE",
        "authorized_official_telephone_number": "920-623-9970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "WI",
            "license": "24077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0020103002",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB7643",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30673100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prairie Ridge Health, Inc.
• Prairie Ridge Health, Inc.
• Prairie Ridge Health, Inc.
• Carolyn Jean Reabe, MD
• Kurt W. Reichert, CRNA
• Rocky Mountain Urology,LLC
• Amanda Romens, PA-C
• Susan E. Rupp, DC
• Jerrold C Russell, OD
• Sacquitne Anesthesia LLC

• Urology Physician in Columbus, WI
• Providers in Columbus, WI by specialty
• Urology Physician in Wisconsin

• 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.

Verify at the official NPI Registry.