Organization Active NPI

Urologist Inc

  • Specialist
  • Clarksburg, WV
National Provider Identifier
1962697532
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
12120 Issued in WV
Legal business name
UROLOGIST INC
Practice address
600 Davisson Run Rd Ste 201
Clarksburg, WV 26301-9307
Phone
(304) 623-1581
NPI assigned
Sep 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Authorized official

Name
Dr. Joseph Christopher Kassis, M.D.
Title
President
Phone
(304) 623-1581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 12120 WV Primary

Addresses

Primary practice location

600 Davisson Run Rd Ste 201
Clarksburg, WV 26301-9307

Mailing address

600 Davisson Run Rd Ste 201
Clarksburg, WV 26301-9307
Phone (304) 623-1581

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1962697532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 DAVISSON RUN RD STE 201",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263019307",
            "telephone_number": "304-623-1581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 DAVISSON RUN RD STE 201",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263019307",
            "telephone_number": "304-623-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "KASSIS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-623-1581",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WV",
            "license": "12120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.