Active NPI
Enid Urology Associates
- Urology Physician
- Arkansas City, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 0434000
- Legal business name
- ENID UROLOGY ASSOCIATES
- Practice address
- 6401 Patterson Pkwy
Arkansas City, KS 67005-5701 - Phone
- (580) 233-3230
- Fax
- (580) 233-0698
- NPI assigned
- Nov 6, 2009
- Last updated
- Aug 10, 2011
- Organization subpart
- Yes
- Parent organization
- ENID UROLOGY ASSOCIATES, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jarrett D Kruska, MD
- Title
- Owner
- Phone
- (580) 233-3230
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 0434000 | KS | Primary |
Addresses
Primary practice location
6401 Patterson Pkwy
Arkansas City, KS 67005-5701
Mailing address
615 E Oklahoma Ave
Ste 202
Enid, OK 73701-5951
Phone (580) 233-3230
National Provider Directory
National Provider Directory- Tax ID family
- Roger W Timmpa
- Part of
- Roger W Timmpa
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-Pharmacy Dispensing Site
- Enid, OK
- NPI 1366266280
-
- Radiation Oncology Physician
- Ponca City, OK
- NPI 1942598628
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
- Enid, OK
- NPI 1497750533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312934400000",
"number": "1871820175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 E OKLAHOMA AVE",
"address_2": "STE 202",
"city": "ENID",
"state": "OK",
"postal_code": "737015951",
"telephone_number": "580-233-3230",
"fax_number": "580-233-0698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 PATTERSON PKWY",
"city": "ARKANSAS CITY",
"state": "KS",
"postal_code": "670055701",
"telephone_number": "580-233-3230",
"fax_number": "580-233-0698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENID UROLOGY ASSOCIATES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ENID UROLOGY ASSOCIATES, INC",
"enumeration_date": "2009-11-06",
"last_updated": "2011-08-10",
"status": "A",
"authorized_official_last_name": "KRUSKA",
"authorized_official_first_name": "JARRETT",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "580-233-3230",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "KS",
"license": "0434000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arkansas City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.