Enid Urology Associates
Organization Active NPI Urology Physician · Arkansas City, KS
NPI 1871820175 · NPPES record last updated Aug 10, 2011
Key facts
- NPI
- 1871820175
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urology Physician 208800000X
- License
- 0434000 (KS)
- 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
- Organization subpart
- Yes
- Parent organization (as reported)
- ENID UROLOGY ASSOCIATES, INC
Authorized official
- Name
- Dr. Jarrett D Kruska, MD
- Title
- Owner
- Phone
- (580) 233-3230
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Roger W Timmpa
- Part of
- Roger W Timmpa
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician |
208800000X | 0434000 | KS | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0361060001 | Other | OK | MEDICARE DME |
| 200057980A | Medicaid | OK |
Other providers in Arkansas City, KS
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- Matthew Douglas Doxey
- Dr. S. L. Abbey, Chartered
- Earcare of Arkansas City, Inc.
- Heidi Nicole Ensley
- Natosha Ervin
- Jeff Michael Fluty
- Rebecca Izabel Francisco
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All providers in Arkansas City, KS · Urology Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.