Urology Clinic, Inc.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

27784 Issued in SC

Legal business name

UROLOGY CLINIC, INC.

Practice address

1285 Wilson Hall Rd
Sumter, SC 29150

Phone

(803) 905-3555

Fax

(803) 905-3570

NPI assigned

Mar 11, 2016

Last updated

Jan 15, 2019By 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. Vijay Paul Pinto, M.D.NPI 1811002371

Title

President

Phone

(803) 464-5161

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

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

• Direct secure messaging: stefanieseixas-mikelus@theurologyclinic.medalliesdirect.net
• Direct secure messaging: vijaypinto@theurologyclinic.medalliesdirect.net

Practitioners 6

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.

• Vijay Paul Pinto, M.D.

  • Urology Physician
  • Sumter, SC
  • NPI 1811002371
  Medicare reassignment Care Compare group NPD Authorized official
• Elijah Scott Bausum, AGNP-C

  • Urology Physician
  • Sumter, SC
  • NPI 1801642707
  Medicare reassignment Care Compare group NPD
• Brittney Hawkins, APRN

  • Urology Physician
  • Sumter, SC
  • NPI 1417556846
  Medicare reassignment Care Compare group NPD
• Stefanie A Seixas-Mikelus, MD

  • Urology Physician
  • Columbia, SC
  • NPI 1962666784
  Medicare reassignment Care Compare group NPD
• Eva Reynolds, NP

  • Family Nurse Practitioner
  • Elgin, SC
  • NPI 1306827019
  Medicare reassignment NPD
• Jesse Caleb Rockmore, DO

  • Urology Physician
  • Blairsville, GA
  • NPI 1225532690

  SC

  Medicare reassignment NPD

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1912368457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 WILSON HALL RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501804",
            "telephone_number": "803-905-3555",
            "fax_number": "803-905-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 WILSON HALL RD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "29150",
            "telephone_number": "803-905-3555",
            "fax_number": "803-905-3570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1285 Wilson Hall Rd",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "29150",
            "country_code": "US",
            "telephone_number": "803-905-3555",
            "fax_number": "803-905-3570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UROLOGY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-11",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "PINTO",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-464-5161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "SC",
            "license": "27784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF SC",
            "identifier": "1912368457",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP7304",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Sumter, SC
• Providers in Sumter, SC by specialty
• Urology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.