Yuma Urology Center PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

YUMA UROLOGY CENTER PLLC

Practice address

2275 S Elks LN
Yuma, AZ 85364-6258

Phone

(928) 341-1900

Fax

(928) 341-1973

NPI assigned

Aug 16, 2007

Last updated

Aug 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Natakom Nash Chulamorkodt, M.D.NPI 1043388481

Title

President

Phone

(773) 501-7706

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CCJDAA

Practitioners 2

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.

• Natakom Nash Chulamorkodt, MD

  • Urology Physician
  • Yuma, AZ
  • NPI 1043388481
  Medicare reassignment Authorized official
• Diana Thant, M.D.

  • Anesthesiology Physician
  • Yuma, AZ
  • NPI 1306935242
  NPD (past)

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1841482577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6514",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853662522",
            "telephone_number": "928-257-8699",
            "fax_number": "928-341-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 S ELKS LN",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646258",
            "telephone_number": "928-341-1900",
            "fax_number": "928-341-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUMA UROLOGY CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "CHULAMORKODT",
        "authorized_official_first_name": "NATAKOM",
        "authorized_official_middle_name": "NASH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-501-7706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "AZ",
            "license": "37017",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043388481",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yuma Southwest Medicine
• Yuma Surgery Center, LLC
• Yuma TMS PLLC
• Yuma Treatment Center LLC
• Yuma Union High School District # 70
• Yuma Valley Ambulatory Pain Services Inc
• Yuma Valley Anesthesia, PLLC (Yuma Valley Advanced Pain Management)
• Yuma Valley Family Medicine Center PC
• Yuma Vision Center, Inc
• Yuma Wellness & Aesthetics

• Urology Physician in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Urology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.