Organization Active NPI

Tuscarawas Valley Urology, LTD

  • Nurse Practitioner
  • Dover, OH
National Provider Identifier
1831420199
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
TUSCARAWAS VALLEY UROLOGY, LTD
Practice address
300 Medical Park Drive
Suite 103
Dover, OH 44622
Phone
(330) 364-7830
Fax
(330) 364-7802
NPI assigned
Jan 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Authorized official

Name
Ms. Chrystal L Smith
Title
Insurance Billing
Phone
(330) 364-7830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

300 Medical Park Drive
Suite 103
Dover, OH 44622

Mailing address

300 Medical Park Drive
Suite 103
Dover, OH 44622
Phone (330) 364-7830

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1831420199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PARK DRIVE",
            "address_2": "SUITE 103",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "44622",
            "telephone_number": "330-364-7830",
            "fax_number": "330-364-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PARK DRIVE",
            "address_2": "SUITE 103",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "44622",
            "telephone_number": "330-364-7830",
            "fax_number": "330-364-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUSCARAWAS VALLEY UROLOGY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHRYSTAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "INSURANCE BILLING",
        "authorized_official_telephone_number": "330-364-7830",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.