Urologic Surgery Associates, S.C.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

042007836 Issued in IL

Legal business name

UROLOGIC SURGERY ASSOCIATES, S.C.

Practice address

1414 Woodbine Rd
Bloomington, IL 61704-2817

Phone

(309) 661-9999

Fax

(309) 662-0748

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Anne Thomas, R.N.

Title

Office Manager

Phone

(309) 661-9999

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1831215391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 WOODBINE RD",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617042817",
            "telephone_number": "309-661-9999",
            "fax_number": "309-662-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 WOODBINE RD",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617042817",
            "telephone_number": "309-661-9999",
            "fax_number": "309-662-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGIC SURGERY ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "309-661-9999",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "IL",
            "license": "042007836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5007705",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Uhlmann, LCSW
• Mark Steven Ulbrich, M.D.
• Jane Underwood
• Stephanie Unsworth, DC
• Jennifer Uphoff
• Janet Wintersteen Valdes, PT
• Tara Valentine
• Shelby Valladares
• Ricardo Vallejo, MD
• Van Aman Center for Wellness, PLLC

• Urology Physician in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Urology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.