Active NPI
Urology Associates, LLC
- Specialist
- St George, UT
National Provider Identifier
1952436826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- UROLOGY ASSOCIATES, LLC
- Practice address
- 391 E 500 S
St George, UT 84770-3667 - Phone
- (435) 628-3606
- Fax
- (435) 628-8404
- NPI assigned
- Feb 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bryan Ellsworth, MD
- Title
- Physician
- Phone
- (435) 628-3606
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | UT | Primary |
Addresses
Primary practice location
391 E 500 S
St George, UT 84770-3667
Mailing address
391 E 500 S
St George, UT 84770-3667
Phone (435) 628-3606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, NV
Enrollment records 2
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
340 Falcon Ridge Pkwy
Ste 200
Mesquite, NV 89027
Phone (435) 628-3606
Interoperability endpoints
- https://api.platform.athenahealth.com/9258/brand/1/csg/1/fhir/r4
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Urology Physician
- Cedar City, UT
- NPI 1982886842
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- St George, UT
- NPI 1083619043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187568000000",
"number": "1952436826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "391 E 500 S",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847703667",
"telephone_number": "435-628-3606",
"fax_number": "435-628-8404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 E 500 S",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847703667",
"telephone_number": "435-628-3606",
"fax_number": "435-628-8404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROLOGY ASSOCIATES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2007-08-20",
"status": "A",
"authorized_official_last_name": "ELLSWORTH",
"authorized_official_first_name": "BRYAN",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "435-628-3606",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "UT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; 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.