NPIMap

Organization Active NPI

Fairhope Urology, PC

  • Urology Physician
  • Fairhope, AL
National Provider Identifier
1811257926
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
29300 Issued in AL
Legal business name
FAIRHOPE UROLOGY, PC
Practice address
8720 Fairhope Ave
Fairhope, AL 36532-3608
Phone
(251) 990-2241
Fax
(251) 990-2242
NPI assigned
May 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Authorized official

Name
Christopher D Petrus, M.D.NPI 1982667622
Title
Ceo
Phone
(251) 990-2241

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 29300 AL Primary

Addresses

Primary practice location

8720 Fairhope Ave
Fairhope, AL 36532-3608

Mailing address

8720 Fairhope Ave
Fairhope, AL 36532-3608
Phone (251) 990-2241

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492473600000",
    "number": "1811257926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 FAIRHOPE AVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323608",
            "telephone_number": "251-990-2241",
            "fax_number": "251-990-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 FAIRHOPE AVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323608",
            "telephone_number": "251-990-2241",
            "fax_number": "251-990-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRHOPE UROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2017-04-18",
        "status": "A",
        "authorized_official_last_name": "PETRUS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "251-990-2241",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "AL",
            "license": "29300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.