ALEXANDRIA UROLOGY P.C. (NPI# 1083898779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083898779 |
| Entity Type | Organization |
| Organization Name | ALEXANDRIA UROLOGY P.C. |
| Practice Address |
112 Park Lane Room 5 Waterloo IA 50701 |
| Mailing Address |
112 Park Lane Waterloo IA 50701-1514 |
| Practice Telephone | 3192342649 |
| Practice Fax Number | 3192332430 |
| Mailing Telephone | 3192342649 |
| Mailing Fax Number | 3192332430 |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |
| Authorized Official Name | DR. ROBERT EUGENE GLESNE (PRESIDENT) |
| Authorized Official Telephone | 3192342649 |
| 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 |
| Street Address |
112 PARK LANE ROOM 5 |
| City | WATERLOO |
| State | IA |
| Zip Code | 50701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757586 | Shawna Harvey | Optometrist | 999 Home Plz Ste 100, Waterloo, IA 50701 | 2018-04-16 |
| 1831693290 | Blue Gregory Boyer | Counselor | 3362 University Ave., Waterloo, IA 50701 | 2018-03-21 |
| 1518460666 | Tom Taylor | Specialist | 974 Home Plaza, Waterloo, IA 50701 | 2018-03-15 |
| 1194247551 | Homelink Sanford | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Drive, Waterloo, IA 50701 | 2017-07-07 |
| 1932471109 | Walgreens | Pharmacy | 111 W Ridgeway Avenue, Waterloo, IA 50701 | 2012-02-03 |
| 1598055188 | Knox Eyecare | Optometrist | 1030 Alabar Ave., Waterloo, IA 50701 | 2011-04-15 |
| 1013222330 | Ashley Lynn Charmichael | Dentist | 220 W. Ridgeway Ave., Suite 201, Waterloo, IA 50701 | 2010-08-11 |
| 1396062311 | Gwendoline Fang | Obstetrics & Gynecology | 1015 S. Hackett Road Suite 200, Department of Ob/gyn, Waterloo, IA 50701 | 2010-04-29 |
| 1013234194 | Ryan Norman Borgwardt | Dentist | 820 Fisher Drive, Waterloo, IA 50701 | 2010-04-28 |
| 1629302310 | Rhonda Kay Herum | Social Worker | 3731 Pheasant Lane #203, Waterloo, IA 50701 | 2009-09-28 |
| Find all providers in zip 50701 | ||||
| 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 |
|---|---|---|---|---|
| 1124018999 | Paul E.l. Richardson | Urology | 3410 Kimball Ave, Waterloo, IA 50702-5735 | 2005-10-24 |
| 1174067698 | Urosmith Pllc | Urology | 3410 Kimball Ave, Waterloo, IA 50702-5735 | 2016-12-19 |
| 1730553918 | Bennhook Pllc | Urology | 3410 Kimball Ave, Waterloo, IA 50702-5735 | 2015-11-25 |
| 1306216767 | Global Urology PC | Urology | 3410 Kimball Ave, Waterloo, IA 50702-5735 | 2015-09-29 |
| 1710279351 | Eric Andresen | Urology | 1717 W Ridgeway Ave, Waterloo, IA 50701 | 2011-05-13 |
| 1326272923 | Eric John Askeland | Urology | 1717 W Ridgeway Ave, Waterloo, IA 50701-4543 | 2009-05-11 |
| 1790929354 | Mark Richard Newton | Urology | 2413 W Ridgeway Ave, Waterloo, IA 50701-4306 | 2009-04-27 |
| 1326257346 | Daniel Kwai Lee | Urology | 1717 W Ridgeway Ave, Waterloo, IA 50701 | 2007-05-22 |
| 1467497909 | Anand H Inamdar | Urology | 3410 Kimball Ave, Waterloo, IA 50702-5735 | 2006-06-18 |
| 1194792572 | Loren James Smith | Urology | 3410 Kimball Ave, Waterloo, IA 50702 | 2006-03-03 |
| Find all providers in WATERLOO | ||||
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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.