NPIMap

Organization Active NPI

Urological Associates PC

  • Radiology Clinic/Center
  • Davenport, IA
National Provider Identifier
1790352409
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
UROLOGICAL ASSOCIATES PC
Practice address
3319 Spring St
Davenport, IA 52807-2125
Phone
(563) 359-1716
Fax
(563) 359-4634
NPI assigned
Jun 10, 2021
Last updated
Jun 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Authorized official

Name
Katrina Mae Masakowski
Title
Business Office MGR
Phone
(563) 359-1716

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU Primary
Diagnostic Radiology Physician 2085R0202X NU

Addresses

Primary practice location

3319 Spring St
Davenport, IA 52807-2125

Mailing address

3319 Spring St
Davenport, IA 52807-2125
Phone (563) 359-1716

Other identifiers 1

IdentifierTypeStateIssuer
0073643MedicaidIA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Share Other

National Provider Directory

National Provider Directory
Tax ID family
Urological Associatees2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1790352409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 SPRING ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072125",
            "telephone_number": "563-359-1716",
            "fax_number": "563-359-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 SPRING ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072125",
            "telephone_number": "563-359-1716",
            "fax_number": "563-359-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "MASAKOWSKI",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MGR",
        "authorized_official_telephone_number": "563-359-1716"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0073643",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Share",
            "affiliation": "N",
            "endpointDescription": "Next Gen Share",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Next Gen",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3319 Spring St",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528072125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.