UROLOGY NORTHWEST, PS (NPI# 1003169434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003169434 |
Entity Type | Organization |
Organization Name | UROLOGY NORTHWEST, PS |
Other Organization Name | UROLOGY NORTHWEST, PS AK |
Practice Address |
3100 Tongass Ave 3rd Floor Visiting Clinic Ketchikan AK 99901-5746 |
Mailing Address |
6005 244th St Sw 111 Mountlake Terrace WA 98043-5400 |
Practice Telephone | 8558815319 |
Mailing Telephone | 4252755547 |
Mailing Fax Number | 4252755593 |
Enumeration Date | 2012-10-23 |
Last Update Date | 2012-10-23 |
Authorized Official Name | CANDY SHALON CHAPMAN (ADMINISTRATOR) |
Authorized Official Telephone | 4252755547 |
Is Organization Subpart | Y |
Parent Organization Name | UROLOGY NORTHWEST, PS |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AK | MPG0374 | 05 |
Other Name | Type Code |
---|---|
Urology Northwest, PS AK | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124084983 | Urology Northwest, Ps | Urology | 6005 244th St Sw, Ste 111, Mountlake Terrace, WA 98043-5400 | 2006-04-21 |
Street Address |
3100 TONGASS AVE 3RD FLOOR VISITING CLINIC |
City | KETCHIKAN |
State | AK |
Zip Code | 99901-5746 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194720250 | Alan L Christensen | Obstetrics & Gynecology | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2005-06-16 |
1528544822 | Peacehealth Ketchikan Medical Center | Medicare Defined Swing Bed Unit | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2018-07-19 |
1710337381 | Ian Dobbe | Family Medicine | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2016-06-15 |
1073977443 | Michael Sheflo | Internal Medicine | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2016-04-11 |
1598144800 | Bryan Cothren | Psychiatry & Neurology | 3100 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
1093145567 | Catherine Henderson | Nurse Practitioner | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2013-11-20 |
1821374497 | Deborah M O'loane | Nurse Practitioner | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2011-10-27 |
1215239595 | Nes Washington, Inc. | Emergency Medicine | 3100 Tongass Ave, Ketchikan, AK 99901 | 2010-11-19 |
1447562921 | Victor Chen | Psychiatry & Neurology | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2010-07-13 |
1336469469 | Leslie Amanda Locklear | Nurse Practitioner | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2010-06-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992314215 | Residential Youth Care, Inc. | Community/Behavioral Health | 2442 Tongass Avenue, Ketchikan, AK 99901 | 2020-07-23 |
1316563026 | Residential Youth Care, Inc. | Community/Behavioral Health | 606 Hill Road, Ketchikan, AK 99901 | 2020-06-18 |
1043836851 | Residential Youth Care, Inc. | Community/Behavioral Health | 2514 1st Avenue, Ketchikan, AK 99901 | 2020-06-18 |
1215553029 | Residential Youth Care, Inc. | Community/Behavioral Health | 2951 Baranof Avenue, Ketchikan, AK 99901 | 2020-06-18 |
1174159222 | Helene Rae Simpson | Behavior Technician | 201 Deermont St, Ketchikan, AK 99901 | 2020-03-20 |
1003295155 | Suzanne Webb | Massage Therapist | 602 Dock St Ste 106, Ketchikan, AK 99901 | 2015-05-22 |
1093194342 | Kate Mortensen | Case Manager/Care Coordinator | 2690 Tongass Ave, Ketchikan, AK 99901 | 2015-05-20 |
1578879631 | Thomas Peter Ryan | Social Worker | 320 Bawden St. #318, Ketchikan, AK 99901 | 2010-08-27 |
1689820979 | Akeela Inc | Community Based Residential Treatment Facility, Mental Illness | 3050 Fifth Ave, Ketchikan, AK 99901 | 2008-08-18 |
1750565438 | Susan Marie Swift | Nurse Practitioner | 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 | 2007-12-18 |
Find all providers in zip 99901 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083715262 | Southeast Urology Clinic A PC | Urology | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2006-09-26 |
1699876854 | Gary J Schoenrock | Urology | 3100 Tongass Ave, Ketchikan, AK 99901-5746 | 2006-09-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740897503 | Far North Urology & Research PC | Urology | 2120 Sonstrom Dr, Anchorage, AK 99517-1018 | 2020-09-25 |
1043727878 | Fairbanks Urology | Urology | 1905 Cowles St Ste B, Fairbanks, AK 99701-5914 | 2018-01-02 |
1790009645 | Southeast Urology LLC | Urology | 3227 Glacier Hwy, Juneau, AK 99801-7842 | 2010-03-22 |
1649211194 | Andre' S Godet | Urology | 3841 Piper St Ste T300, Anchorage, AK 99508-4624 | 2006-06-08 |
1124091939 | Robert C Allen Jr. | Urology | 188 W Northern Lights Blvd, Suite 800, Anchorage, AK 99503-3902 | 2006-02-10 |
1336136936 | Alaska Women's Health Services, Inc | Urology | 4115 Lake Otis Pkwy, Anchorage, AK 99508-5213 | 2005-09-29 |
1538169321 | Greg O Lund | Urology | 2490 S Woodworth Loop 401, Palmer, AK 99645 | 2005-07-22 |
1366860314 | Bryan James Wilson | Urology | 4315 Diplomacy Dr, Anchorage, AK 99508 | 2014-04-06 |
1861831273 | Elysia Sophia Spencer | Urology | 4315 Diplomacy Dr, Anchorage, AK 99508-5926 | 2013-06-19 |
1710246939 | Doug Cho | Urology | 5955 Zeamer Ave, Jber, AK 99506 | 2012-05-08 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.