Urology Center, PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

UROLOGY CENTER, PC

Practice address

300 Pershing Ave
Shenandoah, IA 51601-2355

Phone

(712) 246-1230

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Laura Forehead

Title

Administrator

Phone

(402) 397-9800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Urology Center, PC

  • Urology Physician
  • Clarinda, IA
  • NPI 1043386352

  O20040211000680

  Same enrollment
• Urology Center, PC

  • Urology Physician
  • Red Oak, IA
  • NPI 1053488395

  O20040211000680

  Same enrollment
• Urology Center, PC

  • Urology Physician
  • Corning, IA
  • NPI 1811064603

  O20040211000680

  Same enrollment
• Urology Center PC

  • Urology Physician
  • Omaha, NE
  • NPI 1114919875

  O20040211000680

  Same enrollment
• Urology Center PC

  • Urology Physician
  • Omaha, NE
  • NPI 1255224747

  O20040211000680

  Same enrollment

Practitioners 3

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

• Christopher John Corder, MD

  • Urology Physician
  • Omaha, NE
  • NPI 1871857219
  NPD (past)
• Gernon A Longo, MD

  • Urology Physician
  • Omaha, NE
  • NPI 1477555753
  NPD (past)
• Jon J Morton, MD

  • Urology Physician
  • Omaha, NE
  • NPI 1174526198
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510012800000",
    "number": "1922174242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143907",
            "telephone_number": "402-397-9800",
            "fax_number": "402-397-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PERSHING AVE",
            "city": "SHENANDOAH",
            "state": "IA",
            "postal_code": "516012355",
            "telephone_number": "712-246-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2017-11-07",
        "status": "A",
        "authorized_official_last_name": "FOREHEAD",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-397-9800"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Stuhr, NE
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• Justin David Thomas, PHARMD
• Rachel Lauren Timmerman, APRN
• Jillian Marie Travis, RDH
• Shelby Marie Vanleuven, ARNP
• Vantage Rehab Inc
• Kala Varellas
• Walmart Inc.
• Rose Walter, ARNP

• Urology Physician in Shenandoah, IA
• Providers in Shenandoah, IA by specialty
• Urology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.