Active NPI
Urology Health Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Paoli, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- UROLOGY HEALTH SURGERY CENTER, LLC
- Practice address
- 4 Industrial Blvd
Suite 175
Paoli, PA 19301-1605 - Phone
- (610) 525-2515
- Fax
- (610) 527-6586
- NPI assigned
- May 27, 2014
- Last updated
- May 27, 2014
- 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
- Mrs. Mary Joan Walsh
- Title
- Manager
- Phone
- (610) 525-2515
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
4 Industrial Blvd
Suite 175
Paoli, PA 19301-1605
Mailing address
PO Box 1287
Blue Bell, PA 19422-0410
Phone (484) 530-0205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Ambulatory Surgical Clinic/Center
- Huntingdon Valley, PA
- NPI 1306043617
3375635063
-
- Ambulatory Surgical Clinic/Center
- Broomall, PA
- NPI 1669931861
3375635063
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Ambulatory Surgical Clinic/Center
- Huntingdon Valley, PA
- NPI 1306043617
O20070827000252
-
- Ambulatory Surgical Clinic/Center
- Broomall, PA
- NPI 1669931861
O20070827000252
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Urology Health Surgery Center LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2086607 | Urology Health Surgery Center, LLC | Certificate of waiver | Nov 6, 2026 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba MidLantic Urology
- Urology Physician
- Paoli, PA
- NPI 1952829350
Member Of
Practitioners & affiliated clinicians
Practitioners 5
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
- Bryn Mawr, PA
- NPI 1639178551
-
- Urology Physician
- Philadelphia, PA
- NPI 1013440312
-
- Urology Physician
- Paoli, PA
- NPI 1396935912
-
- Urology Physician
- Bryn Mawr, PA
- NPI 1578666111
-
- Urology Physician
- Paoli, PA
- NPI 1063410702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401148800000",
"number": "1790197606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1287",
"city": "BLUE BELL",
"state": "PA",
"postal_code": "194220410",
"telephone_number": "484-530-0205",
"fax_number": "484-530-0209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 INDUSTRIAL BLVD",
"address_2": "SUITE 175",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011605",
"telephone_number": "610-525-2515",
"fax_number": "610-527-6586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROLOGY HEALTH SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-27",
"last_updated": "2014-05-27",
"status": "A",
"authorized_official_last_name": "WALSH",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "JOAN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "610-525-2515",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.