Organization Active NPI

Amarillo Urology Associates LLP

  • Specialist
  • Amarillo, TX
National Provider Identifier
1740373976
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
AMARILLO UROLOGY ASSOCIATES LLP
Practice address
1900 Medi Park Dr
Amarillo, TX 79106-2104
Phone
(806) 355-9447
Fax
(806) 356-9251
NPI assigned
Oct 2, 2006
Last updated
Mar 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Mr. Michael Whitt Holder
Title
Ceo
Phone
(806) 350-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

1900 Medi Park Dr
Amarillo, TX 79106-2104

Mailing address

1900 Medi Park Dr
Amarillo, TX 79106-2104
Phone (806) 355-9447

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040615000313 TX Part B Supplier - Clinic/Group Practice 5890779227 Receives reassigned benefits from 19 practitioners
Practice locations: Amarillo, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0507022Amarillo Urology Associates1900 Medi Park, Amarillo, TX 79106ComplianceMar 18, 2028

National Provider Directory

National Provider Directory

Locations

1301 S Coulter St
Ste 100
Amarillo, TX 79106
Phone (806) 354-0950

1946 Civic Cir
Amarillo, TX 79109

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15926/brand/4/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1740373976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MEDI PARK DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062104",
            "telephone_number": "806-355-9447",
            "fax_number": "806-356-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MEDI PARK DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062104",
            "telephone_number": "806-355-9447",
            "fax_number": "806-356-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARILLO UROLOGY ASSOCIATES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "HOLDER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WHITT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "806-350-4100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.