Waukesha Urology Associates SC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

20043 Issued in WI

Legal business name

WAUKESHA UROLOGY ASSOCIATES SC

Practice address

721 American Ave
Suite 402
Waukesha, WI 53188-5071

Phone

(262) 548-3600

Fax

(262) 548-3539

NPI assigned

Aug 25, 2005

Organization subpart

No

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

Authorized official

Name

Russell K Lawson, MD

Title

President

Phone

(262) 548-3600

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780677633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 AMERICAN AVE",
            "address_2": "SUITE 402",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531885071",
            "telephone_number": "262-548-3600",
            "fax_number": "262-548-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 AMERICAN AVE",
            "address_2": "SUITE 402",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531885071",
            "telephone_number": "262-548-3600",
            "fax_number": "262-548-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUKESHA UROLOGY ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-548-3600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "WI",
            "license": "20043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21258900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• 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.