Urology Associates of South Arkansas

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

UROLOGY ASSOCIATES OF SOUTH ARKANSAS

Practice address

1609 W 40TH Ave Ste 301
Pine Bluff, AR 71603-6366

Phone

(870) 536-5162

Fax

(870) 536-5198

NPI assigned

May 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lorie Caldwell

Title

Billing

Phone

(870) 536-5162

Specialties & licenses 1

Addresses

Locations

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.

• Dennis W Jacks, M.D.

  • Urology Physician
  • Pine Bluff, AR
  • NPI 1013909316
  NPD (past)
• David A Lupo, M.D.

  • Urology Physician
  • Pine Bluff, AR
  • NPI 1245222553
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780891309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 W 40TH AVE STE 301",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036366",
            "telephone_number": "870-536-5162",
            "fax_number": "870-536-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 W 40TH AVE STE 301",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716036366",
            "telephone_number": "870-536-5162",
            "fax_number": "870-536-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY ASSOCIATES OF SOUTH ARKANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "LORIE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "870-536-5162",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of Arkansas for Medical Sciences (Kids First Pine Bluff)
• University of Arkansas for Medical Sciences (Justiss Lindsey Clinic AHEC)
• University of Arkansas for Medical Sciences
• University of Arkansas Medical Sciences, Ahec Pine Bluff
• Ryan Arvin Vegafria Urbano, RPT
• Chizoba Usuwa, MD
• V. Bryan Perry MD PA
• Jon C Valentine, CRNA
• Shanda Vinson, APRN
• Jewell D Vocque, CRNA

• Specialist in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Specialist in Arkansas

• 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.