Urology Associates of Northwest Indiana PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

UROLOGY ASSOCIATES OF NORTHWEST INDIANA PC

Practice address

1101 E Glendale Blvd
Ste 111
Valparaiso, IN 46383

Phone

(219) 464-1001

Fax

(219) 465-7426

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Subba Rao Nagubadi, MD

Title

President

Phone

(219) 464-1001

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark D Dabagia, MD

  • Urology Physician
  • Fort Wayne, IN
  • NPI 1891795852
  NPD (past)
• Kannan Manickam, MD

  • Urology Physician
  • Baltimore, MD
  • NPI 1023018074
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1780750133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E GLENDALE BLVD",
            "address_2": "STE 111",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "46383",
            "telephone_number": "219-464-1001",
            "fax_number": "219-465-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E GLENDALE BLVD",
            "address_2": "STE 111",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "46383",
            "telephone_number": "219-464-1001",
            "fax_number": "219-465-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY ASSOCIATES OF NORTHWEST INDIANA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "NAGUBADI",
        "authorized_official_first_name": "SUBBA",
        "authorized_official_middle_name": "RAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-464-1001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200382400A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Michael John Uzelac, DDS
• Ushna Vaid, DMD
• Jeanne Vail
• Vale Park Dental Care, PC
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• Urology Physician in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Urology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.