Jorge Fernando Urquiaga, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

2017022725 Issued in MO

Practice address

3655 Vista Avenue
2ND Floor West Pavilion
St. Louis, MO 63110

Phone

(314) 577-8715

Fax

(314) 577-8720

NPI assigned

Jun 19, 2017

Last updated

Jul 31, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501459200000",
    "number": "1952831208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 VISTA AVENUE",
            "address_2": "DEPT OF NEUROSURGERY 5TH FLOOR FDT",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63110",
            "telephone_number": "314-577-8715",
            "fax_number": "314-577-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 VISTA AVENUE",
            "address_2": "2ND FLOOR WEST PAVILION",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63110",
            "telephone_number": "314-577-8715",
            "fax_number": "314-577-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URQUIAGA",
        "first_name": "JORGE",
        "middle_name": "FERNANDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-19",
        "last_updated": "2017-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MO",
            "license": "2017022725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Urology of St. Louis, Inc. (Neurosurgery of St Louis)
• Urology of St. Louis, Inc.
• Urology of St. Louis, Inc. (Neurosurgery of St Louis)
• Uropath Consultants, LLC
• Andrea Urquiaga Galvez, M.D.
• Samuel Alejandro Urrutia Argueta, MD
• Margaret Mary Urschler, MD
• Tracy Dahl Urschler, FNP
• Ursulas Home Care LLC
• US Center for Sports Medicine

• Neurological Surgery Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Neurological Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.