Prescott Urology LTD

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PRESCOTT UROLOGY LTD

Practice address

811 Ainsworth Dr
Suite 101
Prescott, AZ 86301-1687

Phone

(928) 771-5282

Fax

(928) 771-5283

NPI assigned

Jun 21, 2006

Last updated

Jun 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Sanwick, MDNPI 1952339723

Title

Owner

Phone

(928) 771-5282

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey M Sanwick, MD

  • Specialist
  • Prescott, AZ
  • NPI 1952339723
  Medicare reassignment NPD Authorized official
• Paul Tuan Nguyen, MD

  • Urology Physician
  • Prescott, AZ
  • NPI 1699859769

  Specialist

  Medicare reassignment NPD
• Michael E Stanik, MD

  • Specialist
  • Prescott, AZ
  • NPI 1609812247
  Medicare reassignment NPD
• Daniel J Beck, M.D.

  • Anesthesiology Physician
  • Prescott, AZ
  • NPI 1467458398
  NPD (past)
• Paul L Braithwaite, DO

  • Anesthesiology Physician
  • Prescott, AZ
  • NPI 1184616344
  NPD (past)
• Kyle L. Carter, M.D.

  • Anesthesiology Physician
  • Prescott, AZ
  • NPI 1104800861
  NPD (past)
• Martin Joseph Leidinger, M.D.

  • Pulmonary Disease Physician
  • Prescott, AZ
  • NPI 1780672329
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1972549517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 AINSWORTH DR",
            "address_2": "SUITE 101",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011687",
            "telephone_number": "928-771-5282",
            "fax_number": "928-771-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 AINSWORTH DR",
            "address_2": "SUITE 101",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011687",
            "telephone_number": "928-771-5282",
            "fax_number": "928-771-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCOTT UROLOGY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "SANWICK",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-771-5282",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prescott Speech & Language Services Inc.
• Prescott Surgical Clinic PA
• Prescott Unified School District
• Prescott Unified School District
• Prescott Unified School District #1
• Prescott Valley Hearing, LLC (Prescott Hearing Center)
• Prescott Vamc
• Prescott Vamc
• Prescott Village Nursing & Rehabilitation LLC
• Prescott Whipple Stage (Prescott Transit)

• Specialist in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.

Verify at the official NPI Registry.