Active NPI
Urologist Inc
- Specialist
- Clarksburg, WV
National Provider Identifier
1962697532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 12120
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 DirectoryNPI 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.