Advanced Urology Inc
Organization Active NPI Urology Physician · Youngstown, OH
NPI 1962417535 · NPPES record last updated Jun 5, 2008
Key facts
- NPI
- 1962417535
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urology Physician 208800000X
- Legal business name
- ADVANCED UROLOGY INC
- Practice address
- 904 Sahara Trail
Youngstown, OH 44514-3667 - Phone
- (330) 758-9787
- Fax
- (330) 758-9792
- NPI assigned
- Jul 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Paul W Musselman, MD
- Title
- President
- Phone
- (330) 758-9787
Practitioners 8
-
Joel H. Elconin, MD
-
John A Hyland, M.D.
-
Aryavarta M Kumar, M.D., PH.D.
-
Kenneth C Lane, MD
-
Gilbert Padula, M.D.
-
Jessica L Sitler, CNP
National Provider Directory
Locations
60 N Canfield Niles Rd
Youngstown, OH 44515
Phone (330) 793-4485
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician |
208800000X | Yes |
Addresses
Primary practice location
904 Sahara Trail
Youngstown, OH 44514-3667
Mailing address
PO Box 76526
Cleveland, OH 44101-6500
Phone (330) 758-9787
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2092711 | Medicaid | OH | |
| 0170998 | Medicaid | OH | |
| 2011183 | Medicaid | OH | |
| CA7425 | Other | RAILROAD MEDICARE |
Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.