Active NPI
State College Urologic Associates, Inc.
- Urology Physician
- State College, PA
National Provider Identifier
1780631564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- STATE COLLEGE UROLOGIC ASSOCIATES, INC.
- Practice address
- 905 University Dr
State College, PA 16801-6626 - Phone
- (814) 238-8418
- Fax
- (814) 234-2888
- NPI assigned
- May 27, 2006
- Last updated
- Aug 2, 2010
- 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
- Ms. Elaine Meyer
- Title
- Account Coordinator
- Phone
- (814) 272-3148
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
905 University Dr
State College, PA 16801-6626
Mailing address
905 University Dr
State College, PA 16801-6626
Phone (814) 238-8418
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006452570001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Urology Physician
- State College, PA
- NPI 1780663229
-
- Urology Physician
- State College, PA
- NPI 1639158173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280707200000",
"number": "1780631564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 UNIVERSITY DR",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168016626",
"telephone_number": "814-238-8418",
"fax_number": "814-234-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 UNIVERSITY DR",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168016626",
"telephone_number": "814-238-8418",
"fax_number": "814-234-2888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATE COLLEGE UROLOGIC ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-27",
"last_updated": "2010-08-02",
"status": "A",
"authorized_official_last_name": "MEYER",
"authorized_official_first_name": "ELAINE",
"authorized_official_title_or_position": "ACCOUNT COORDINATOR",
"authorized_official_telephone_number": "814-272-3148",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006452570001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in State College, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.