KS UROLOGY INC (NPI# 1053562033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053562033 |
| Entity Type | Organization |
| Organization Name | KS UROLOGY INC |
| Practice Address |
1220 E Elm St Suite 101 Lima OH 45804-2850 |
| Practice Telephone | 4192280570 |
| Practice Fax Number | 4192280943 |
| Mailing Telephone | 4192280570 |
| Mailing Fax Number | 4192280943 |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |
| Authorized Official Name | DR. KENNETH E STANLEY III (VICE PRESIDENT) |
| Authorized Official Telephone | 4192280570 |
| Authorized Official Credential | M.D., |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 35057809S | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0989757 | 05 | |
| OH | RAILROAD MEDICARE | 340008614 | 01 |
| OH | ANTHEM BLUE CROSS & BLUE SHIELD | 000000027893 | 01 |
| Street Address |
1220 E ELM ST SUITE 101 |
| City | LIMA |
| State | OH |
| Zip Code | 45804-2850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538165329 | Dennis J Pierson | Family Medicine | 1220 E Elm St, Ste 240, Lima, OH 45804-2898 | 2005-06-27 |
| 1992194443 | Lima Memorial Professional Corporation | Podiatrist | 1220 E Elm St, Suite 150, Lima, OH 45804-2850 | 2015-01-21 |
| 1225329360 | Jacqueline Marie Boucher | Physician Assistant | 1220 E Elm St, Suite 205, Lima, OH 45804-2850 | 2011-04-24 |
| 1619113511 | Karla Elizabeth Schwartz | Social Worker | 1220 E Elm St, Suite 140a, Lima, OH 45804-2850 | 2008-12-23 |
| 1659543676 | Alan B Bradley Md LLC | Obstetrics & Gynecology | 1220 E Elm St, Suite 204, Lima, OH 45804-2850 | 2008-03-31 |
| 1184805517 | Jamie Rose Cook | Physician Assistant | 1220 E Elm St, Suite 106, Lima, OH 45804-2850 | 2007-11-14 |
| 1447443569 | Family Medical Center of Lima, Inc. | Family Medicine | 1220 E Elm St, Suite 150, Lima, OH 45804-2850 | 2007-08-22 |
| 1851583744 | Theresa H Liete Cnm Inc | Advanced Practice Midwife | 1220 E Elm St, Suite 204, Lima, OH 45804-2898 | 2007-08-14 |
| 1073623096 | Rosemary P Pinto-chung | Physician Assistant | 1220 E Elm St, Suite 204, Lima, OH 45804-2850 | 2006-08-30 |
| 1891702296 | Eric C Miller | Podiatrist | 1220 E Elm St, Suite 150, Lima, OH 45804-2850 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729817 | Luke Holliday | Pharmacist | Sams Club Pharmacy, 1150 Greely Chapel Rd, Lima, OH 45804 | 2020-10-30 |
| 1306482393 | Olympia Monik Johnson | Case Manager/Care Coordinator | 799 S. Main St, Lima, OH 45804 | 2019-11-25 |
| 1982260139 | Jenna Renee Warnecke | Speech-Language Pathologist | Shawnee Manor, 2535 Fort Amanda Rd, Lima, OH 45804 | 2019-05-14 |
| 1942728282 | Premier Care of Ohio, LLC. | Community/Behavioral Health | 2727 St. Johns Rd, Ste D, Lima, OH 45804 | 2017-09-07 |
| 1093250078 | Gevette Love | Counselor | 311 E. Market St., Lima, OH 45804 | 2016-12-29 |
| 1134595416 | Rewa A Banks | Nurse Practitioner | 2895 Harding Hwy Ste C, Lima, OH 45804 | 2015-08-20 |
| 1295148195 | Adaptive Medical Marketing, Inc | Durable Medical Equipment & Medical Supplies | 1378 Bellefontaine Ave, Lima, OH 45804 | 2014-06-09 |
| 1265771869 | Laura B Hile | Nurse Practitioner | 1875 South Dixie Highway, Lima, OH 45804 | 2013-02-04 |
| 1184960593 | Jenna L Kimmel | Nurse Practitioner | 799 S. Main St., Lima, OH 45804 | 2012-12-13 |
| 1437398054 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2450 Mandolin Drive, Lima, OH 45804 | 2009-02-05 |
| Find all providers in zip 45804 | ||||
| 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 |
|---|---|---|---|---|
| 1508891151 | Roque Equia Teruel | Urology | 825 West Market St, Ste 304, Lima, OH 45805-2789 | 2006-07-12 |
| 1821074162 | Russell J Taylor | Urology | 770 West High Street, Suite 350, Lima, OH 45801-5901 | 2005-12-19 |
| 1982234126 | Joseph Brautigam | Urology | 770 W High St Ste 350, Lima, OH 45801-5901 | 2020-01-15 |
| 1023497807 | Lima Memorial Professional Corporation | Urology | 1005 Bellefontaine Ave Ste 225, Lima, OH 45804-2896 | 2015-05-26 |
| 1568754661 | Mwafa Turjman | Urology | 1005 Bellefontaine Ave Ste 225, Lima, OH 45804-2896 | 2011-05-06 |
| 1548565385 | Oussama Darwish | Urology | 770 W High St, Ste 350, Lima, OH 45801-3990 | 2011-01-25 |
| 1992916316 | Lima Urology Inc | Urology | 770 West High Street, Suit 350, Lima, OH 45801-5901 | 2007-05-25 |
| 1750489670 | Stephen D Lipson | Urology | 770 W High St, Suite 350, Lima, OH 45801-3990 | 2006-09-21 |
| 1861504185 | Kamrooz Sanii | Urology | 770 W High St, Suite 350, Lima, OH 45801-3990 | 2006-08-31 |
| 1518984137 | Kenneth E Stanley | Urology | 1220 E Elm St Ste 101, Lima, OH 45804-2803 | 2006-07-17 |
| Find all providers in LIMA | ||||
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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.