Active NPI
Urology Center, PC
- Urology Physician
- Corning, IA
National Provider Identifier
1811064603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- UROLOGY CENTER, PC
- Practice address
- 603 Rosary Dr
Corning, IA 50841-1683 - Phone
- (641) 322-3121
- NPI assigned
- Nov 29, 2006
- Last updated
- May 9, 2013
- 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
- Laura Forehead
- Title
- Administrator
- Phone
- (402) 397-9800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | NU | Primary |
Addresses
Primary practice location
603 Rosary Dr
Corning, IA 50841-1683
Mailing address
111 S 90TH St
Omaha, NE 68114-3907
Phone (402) 397-9800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040211000680 | IA | Part B Supplier - Clinic/Group Practice | 2961396833 |
Receives reassigned benefits from 27 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Atlantic, IA; Council Bluffs, IA; Harlan, IA; Red Oak, IA |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Urohealth Partners
- Urology Physician
- Red Oak, IA
- NPI 1053488395
O20040211000680
National Provider Directory
National Provider DirectoryLocations
603 Rosary Dr
#368
Corning, IA 50841
Phone (641) 322-3121
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.
-
- Urology Physician
- Omaha, NE
- NPI 1871857219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368057600000",
"number": "1811064603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S 90TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681143907",
"telephone_number": "402-397-9800",
"fax_number": "402-397-7591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 ROSARY DR",
"city": "CORNING",
"state": "IA",
"postal_code": "508411683",
"telephone_number": "641-322-3121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROLOGY CENTER, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-29",
"last_updated": "2013-05-09",
"status": "A",
"authorized_official_last_name": "FOREHEAD",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "402-397-9800"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corning, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.