NPIMap

Organization Active NPI

Advanced Urology Associates,LLC

  • Urology Physician
  • Reisterstown, MD
National Provider Identifier
1912968397
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
D0047490 Issued in MD
Legal business name
ADVANCED UROLOGY ASSOCIATES,LLC
Practice address
113 Westminster Rd
Suite 102
Reisterstown, MD 21136-1026
Phone
(410) 526-4401
Fax
(410) 526-4414
NPI assigned
Mar 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Authorized official

Name
Barbara A. Matthews
Title
Billing Manager
Phone
(410) 751-2778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X D0047490 MD Primary

Addresses

Primary practice location

113 Westminster Rd
Suite 102
Reisterstown, MD 21136-1026

Mailing address

113 Westminster Rd
Suite 102
Reisterstown, MD 21136-1026
Phone (410) 526-4401

Other identifiers 1

IdentifierTypeStateIssuer
786602000MedicaidMD

National Provider Directory

National Provider Directory

Locations

4000 Old Court Rd
Ste 300301
Pikesville, MD 21208
Phone (410) 653-0000

193 Stoner Ave
Ste 310
Westminster, MD 21157
Phone (410) 751-2363

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1912968397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WESTMINSTER RD",
            "address_2": "SUITE 102",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361026",
            "telephone_number": "410-526-4401",
            "fax_number": "410-526-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 WESTMINSTER RD",
            "address_2": "SUITE 102",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361026",
            "telephone_number": "410-526-4401",
            "fax_number": "410-526-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED UROLOGY ASSOCIATES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "410-751-2778"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "MD",
            "license": "D0047490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "786602000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reisterstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.