Urology of Southeastern in

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

35058527 Issued in OH

Legal business name

UROLOGY OF SOUTHEASTERN IN

Practice address

108 N Elm St
Batesville, IN 47006-1280

Phone

(812) 933-0990

Fax

(812) 933-0784

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Paul D Jarvis

Title

Ceo

Phone

(812) 933-0990

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1891887386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N ELM ST",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470061280",
            "telephone_number": "812-933-0990",
            "fax_number": "812-933-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N ELM ST",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470061280",
            "telephone_number": "812-933-0990",
            "fax_number": "812-933-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY OF SOUTHEASTERN IN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "JARVIS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-933-0990"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "OH",
            "license": "35058527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Batesville, IN
• Providers in Batesville, IN by specialty
• Urology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.