Organization Active NPI

Affiliated Urology Specialists, LTD.

  • Urology Physician
  • Peoria, IL
National Provider Identifier
1982659991
Registry record updated Nov 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
AFFILIATED UROLOGY SPECIALISTS, LTD.
Practice address
200 E Pennsylvania Ave
Suite 201
Peoria, IL 61603-3089
Phone
(309) 655-7700
Fax
(309) 655-7720
NPI assigned
May 24, 2006
Last updated
Nov 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2007

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

Authorized official

Name
Ms. Cynthia Anne Hasty
Title
Practice Administrator
Phone
(309) 655-7704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X IL Primary

Addresses

Primary practice location

200 E Pennsylvania Ave
Suite 201
Peoria, IL 61603-3089

Mailing address

200 E Pennsylvania Ave
Suite 201
Peoria, IL 61603-3089
Phone (309) 655-7700

National Provider Directory

National Provider Directory

Locations

600 S 13th St
Ste L
Pekin, IL 61554
Phone (309) 347-1184

200 E Pennsylvania Ave
Ste 201
Peoria, IL 61603
Phone (309) 655-7700

5401 N Knoxville Ave
Ste 201
Peoria, IL 61614
Phone (309) 655-7700

900 Main St
Ste 530B
Peoria, IL 61602
Phone (309) 655-7700

Practitioners & affiliated clinicians

Practitioners 4

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": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1982659991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E PENNSYLVANIA AVE",
            "address_2": "SUITE 201",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033089",
            "telephone_number": "309-655-7700",
            "fax_number": "309-655-7720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E PENNSYLVANIA AVE",
            "address_2": "SUITE 201",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033089",
            "telephone_number": "309-655-7700",
            "fax_number": "309-655-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED UROLOGY SPECIALISTS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "HASTY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "309-655-7704",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.