Organization Active NPI

Urologic Surgery Associates, Inc.

  • Specialist
  • Covington, LA
National Provider Identifier
1982635355
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
017324 Issued in LA
Legal business name
UROLOGIC SURGERY ASSOCIATES, INC.
Practice address
67250 Industry LN
Suite B
Covington, LA 70433-8716
Phone
(985) 892-3456
Fax
(985) 892-3499
NPI assigned
Jul 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael Norton Pittman Sr.NPI 1588692685
Title
President
Phone
(985) 892-3456

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 017324 LA Primary

Addresses

Primary practice location

67250 Industry LN
Suite B
Covington, LA 70433-8716

Mailing address

67250 Industry LN
Suite B
Covington, LA 70433-8716
Phone (985) 892-3456

Other identifiers 1

IdentifierTypeStateIssuer
1942219MedicaidLA

National Provider Directory

National Provider Directory

Locations

67250 Industry Ln
Ste B
Covington, LA 70433
Phone (985) 809-1997

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982635355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67250 INDUSTRY LN",
            "address_2": "SUITE B",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338716",
            "telephone_number": "985-892-3456",
            "fax_number": "985-892-3499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67250 INDUSTRY LN",
            "address_2": "SUITE B",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704338716",
            "telephone_number": "985-892-3456",
            "fax_number": "985-892-3499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGIC SURGERY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "NORTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-892-3456",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "017324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942219",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.