UROLOGY ASSOCIATES OF SOUTH BEND, PC (NPI# 1063438117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063438117 |
| Entity Type | Organization |
| Organization Name | UROLOGY ASSOCIATES OF SOUTH BEND, PC |
| Practice Address |
707 Cedar St Suite #450 South Bend IN 46617-2054 |
| Practice Telephone | 5742344100 |
| Practice Fax Number | 5742821739 |
| Mailing Telephone | 5742344100 |
| Mailing Fax Number | 5742821739 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ARTHUR PHILILP DEPAUW (PRESIDENT) |
| Authorized Official Telephone | 5742344100 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | DMERC SUPPLIER NUMBER | 0323020001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386609527 | Urology Associates of South Bend, PC | Durable Medical Equipment & Medical Supplies | 707 Cedar St, Suite #450, South Bend, IN 46617-2054 | 2006-04-19 |
| Street Address |
707 CEDAR ST SUITE #450 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-2054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326024431 | Gretchen Lynn Neff | Genetic Counselor, MS | 707 Cedar St, Suite 405, South Bend, IN 46617-2054 | 2005-12-20 |
| 1528556982 | Susan Jane Lies | Registered Nurse | 707 Cedar St, South Bend, IN 46617-2054 | 2018-05-01 |
| 1831387786 | Cardiology Care, P.C. | Specialist | 707 Cedar St, Ste 175, South Bend, IN 46617-2054 | 2007-10-04 |
| 1417161951 | Saint Joseph Regional Medical Center - South Bend Campus | Durable Medical Equipment & Medical Supplies | 707 Cedar St, Suite 150, Image Recovery, South Bend, IN 46617-2054 | 2007-05-10 |
| 1073569174 | Radiation Oncology Associates of Michiana PC | Radiology | 707 Cedar St, South Bend, IN 46617-2054 | 2006-05-26 |
| 1972552636 | Howard R Engel | Internal Medicine | 707 Cedar St, Suite 350, South Bend, IN 46617-2054 | 2006-05-09 |
| 1386609527 | Urology Associates of South Bend, PC | Durable Medical Equipment & Medical Supplies | 707 Cedar St, Suite #450, South Bend, IN 46617-2054 | 2006-04-19 |
| 1306826110 | Daniel Eric Scherb | Internal Medicine | 707 Cedar St, Ste 175, South Bend, IN 46617-2054 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
| 1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
| 1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
| 1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
| 1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
| 1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
| 1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| Find all providers in zip 46617 | ||||
| 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 |
|---|---|---|---|---|
| 1801152210 | Richard James Holloway | Urology | 18799 Arapaho Ln, South Bend, IN 46637 | 2012-04-10 |
| 1639467517 | Roger William Jump IIi | Urology | 6301 University Commons, Suite 350, South Bend, IN 46635-1571 | 2011-07-13 |
| 1649505645 | Allied Physicians of Michiana, LLC | Urology | 6301 University Commons, Suite 350, South Bend, IN 46635-1571 | 2009-10-08 |
| 1689627812 | Beacon Medical Group | Urology | 100 Navarre Pl, Suite 4400, South Bend, IN 46601-1156 | 2006-05-18 |
| 1871562975 | Jeffrey C Cooper | Urology | 211 N Eddy St, South Bend, IN 46617-2808 | 2006-03-14 |
| 1902880107 | Mark Ernest Toth | Urology | 100 Navarre Pl, Ste. 4400, South Bend, IN 46601-1156 | 2005-12-01 |
| 1831194919 | John Anthony Hudak | Urology | 6301 University Commons, Ste 350, South Bend, IN 46635-1571 | 2005-06-16 |
| 1548265622 | Arthur Philip Depauw | Urology | 6301 University Commons, Ste 350, South Bend, IN 46635-1571 | 2005-06-16 |
| 1427053511 | William Henry Stonehill | Urology | 6301 University Commons, Ste 350, South Bend, IN 46635-1571 | 2005-06-16 |
| 1811992803 | Kathleen Marie Delnay | Urology | 6301 University Commons, Ste 350, South Bend, IN 46635-1571 | 2005-06-16 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46617 |
Please comment or provide details below to improve the information on UROLOGY ASSOCIATES OF SOUTH BEND, PC.
| 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.