Urologic LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

UROLOGIC LLC

Practice address

1607 Annesley CT
Annapolis, MD 21401-6497

Phone

(410) 504-4004

NPI assigned

Jan 19, 2021

Organization subpart

No

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

Authorized official

Name

Mara R Holton, MD

Title

Ceo

Phone

(410) 504-4004

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1922698596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1023",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210543023",
            "telephone_number": "410-504-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 ANNESLEY CT",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214016497",
            "telephone_number": "410-504-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "HOLTON",
        "authorized_official_first_name": "MARA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-504-4004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265501746",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://ulp.crisphealth.org",
            "affiliation": "N",
            "endpointDescription": "CRISP",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1607 Annesley Ct",
            "city": "Annapolis",
            "state": "MD",
            "country_code": "US",
            "postal_code": "214016497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Unlimited Compression
• Pulkita Uppal
• Sonie Upreti
• Alexandra Urban, DPT
• Jocelyn Uriostegui, PA-C
• Urologic Physician Services, PC
• Joseph B Urps, M.S., CCC-SLP
• US Medical Supply
• USA Vein Clinics of Maryland LLC
• Lauren Usilton, CRNP

• Urology Physician in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Urology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.