Organization Active NPI

Urology Associates LLC

  • Urology Physician
  • Cedar City, UT
National Provider Identifier
1982886842
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
165247-1205 Issued in UT
Legal business name
UROLOGY ASSOCIATES LLC
Practice address
1303 N Main St Ste D
Cedar City, UT 84720-9746
Phone
(435) 867-0325
NPI assigned
Dec 3, 2007
Reactivated
Nov 5, 2018
Organization subpart
Yes
Parent organization
UROLOGY ASSOCIATES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Authorized official

Name
Dr. Ronald H Crouch, M.D.
Title
Manager
Phone
(435) 867-0325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 165247-1205 UT Primary

Addresses

Primary practice location

1303 N Main St Ste D
Cedar City, UT 84720-9746

Mailing address

1303 N Main St Ste D
Cedar City, UT 84720-9746
Phone (435) 867-0325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050728000767 UT Part B Supplier - Clinic/Group Practice 3577591809 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saint George, UT

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Urology Associates LLC

Locations

340 Falcon Ridge Pkwy
Ste 203
Mesquite, NV 89027
Phone (435) 628-2846

391 E 500 S
St George, UT 84770
Phone (435) 628-3606

736 S 900 E
Ste 108
St George, UT 84790
Phone (435) 628-3606

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1982886842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 N MAIN ST STE D",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847209746",
            "telephone_number": "435-867-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 N MAIN ST STE D",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847209746",
            "telephone_number": "435-867-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UROLOGY ASSOCIATES LLC",
        "enumeration_date": "2007-12-03",
        "last_updated": "2018-11-05",
        "deactivation_date": "2017-11-09",
        "reactivation_date": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "435-867-0325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "UT",
            "license": "165247-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.