Organization Active NPI

Urologic Consultants, PLLC

  • Urology Physician
  • Puyallup, WA
National Provider Identifier
1922112234
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UROLOGIC CONSULTANTS, PLLC
Practice address
1519 3Rd St SE
Suite 210
Puyallup, WA 98372-3742
Phone
(253) 445-1844
NPI assigned
Aug 17, 2006
Last updated
Sep 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Ms. Barbara L Ludtke
Title
Billing Supervisor
Phone
(253) 445-1844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

1519 3Rd St SE
Suite 210
Puyallup, WA 98372-3742

Mailing address

1519 3Rd St SE
Suite 230
Puyallup, WA 98372-3742

National Provider Directory

National Provider Directory

Locations

202 N Division St
#403A
Auburn, WA 98001
Phone (253) 841-9640

1519 3rd St SE
Ste 240
Puyallup, WA 98372
Phone (253) 840-4994

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1922112234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 3RD ST SE",
            "address_2": "SUITE 230",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 3RD ST SE",
            "address_2": "SUITE 210",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723742",
            "telephone_number": "253-445-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGIC CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "LUDTKE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "253-445-1844",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.