Organization Active NPI

Watertown Urology, S.C.

  • Urology Physician
  • Watertown, WI
National Provider Identifier
1801981279
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
32955-020 Issued in WI
Legal business name
WATERTOWN UROLOGY, S.C.
Practice address
123 Hospital Drive
Suite 2002
Watertown, WI 53098
Phone
(920) 261-1334
Fax
(920) 261-8755
NPI assigned
Oct 3, 2006
Last updated
Dec 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Dr. Ronald Scott Sokovich, M.D. F.A.C.S.NPI 1396796074
Title
Urologist
Phone
(920) 261-1334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 32955-020 WI Primary

Addresses

Primary practice location

123 Hospital Drive
Suite 2002
Watertown, WI 53098

Mailing address

123 Hospital Drive
Suite 2002
Watertown, WI 53098
Phone (920) 261-1334

Other identifiers 4

IdentifierTypeStateIssuer
21281700MedicaidWI
553251OtherWIDEAN HEALTH PLAN
1023956OtherWIPHYSICIANS PLUS
DF8987OtherWIRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1801981279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HOSPITAL DRIVE",
            "address_2": "SUITE 2002",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "53098",
            "telephone_number": "920-261-1334",
            "fax_number": "920-261-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HOSPITAL DRIVE",
            "address_2": "SUITE 2002",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "53098",
            "telephone_number": "920-261-1334",
            "fax_number": "920-261-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERTOWN UROLOGY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "SOKOVICH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "UROLOGIST",
        "authorized_official_telephone_number": "920-261-1334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. F.A.C.S."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WI",
            "license": "32955-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21281700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH PLAN",
            "identifier": "553251",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS PLUS",
            "identifier": "1023956",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF8987",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.