ADVANCED UROLOGIC ASSOCIATES, INC (NPI# 1093071938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093071938 |
| Entity Type | Organization |
| Organization Name | ADVANCED UROLOGIC ASSOCIATES, INC |
| Practice Address |
19001 E 48th St S Independence MO 64055-6964 |
| Mailing Address |
17525 Medical Center Pkwy Independence MO 64057-1824 |
| Practice Telephone | 8165028782 |
| Practice Fax Number | 8167950144 |
| Mailing Telephone | 8168366875 |
| Mailing Fax Number | 8168723969 |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2019-11-07 |
| Authorized Official Name | MATTHEW L MARINO (CFO) |
| Authorized Official Telephone | 8163474782 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAINT LUKES HEALTH SYSTEM INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801389267 | Advanced Urologic Associates, Inc | Physician Assistant | 19001 E 48th St S, Independence, MO 64055-6964 | 2018-06-11 |
| Street Address |
19001 E 48TH ST S |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64055-6964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336198845 | Harold Calvin Lentz | Urology | 19001 E 48th St S, Independence, MO 64055 | 2006-05-10 |
| 1801389267 | Advanced Urologic Associates, Inc | Physician Assistant | 19001 E 48th St S, Independence, MO 64055-6964 | 2018-06-11 |
| 1891992228 | Elizabeth Piontek | Urology | 19001 E 48th St S, Independence, MO 64055-6964 | 2007-06-29 |
| 1083738116 | James Sanford Mcintosh | Urology | 19001 E 48th St S, Independence, MO 64055-6964 | 2007-03-16 |
| 1679529754 | Midwest Urology & Radiation Oncology, Inc, PC. | Urology | 19001 E 48th St S, Independence, MO 64055-6964 | 2006-05-26 |
| 1114977550 | John Russell Moore | Urology | 19001 E 48th St S, Independence, MO 64055 | 2006-05-10 |
| 1649220088 | Bradley Keith Stanley | Urology | 19001 E 48th St S, Independence, MO 64055 | 2006-05-10 |
| 1720037195 | Robert Juan Biber | Urology | 19001 E 48th St S, Independence, MO 64055-6964 | 2006-05-10 |
| 1972553378 | David C Lewing | Urology | 19001 E 48th St S, Independence, MO 64055 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1295396398 | Alyson Forbes | Behavioral Analyst | 4721 S. Cliff Ave, Suite 103, Independence, MO 64055 | 2019-06-28 |
| 1427526458 | Physicians Wellness Group LLC | Family Medicine | 19045 E Valley View Parkway, Suite G, Independence, MO 64055 | 2018-11-07 |
| 1760967707 | Simone Lila Light | Behavioral Analyst | 4721 S. Cliff Ave Suite 103, Suite 103, Independence, MO 64055 | 2018-09-25 |
| 1841786183 | Ladonna Kaye Stephens | Pharmacist | 4100 Bolger Dr, Independence, MO 64055 | 2018-07-10 |
| 1568954873 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 17501 E 40 Hwy Ste 224, Independence, MO 64055 | 2018-06-01 |
| 1710488002 | Zenith Rehabilitation, LLC | Rehabilitation Practitioner | 14500 E 42nd St S Ste 240, Independence, MO 64055 | 2018-02-22 |
| 1720526924 | Ashley & Gray D.d.s.'s | Clinic/Center | 1520 E 23rd Str, Ste Q, Independence, MO 64055 | 2017-02-08 |
| 1942751045 | Mary C Younger | Counselor | 4710 S Cedar Crest Ct Ste 100, Independence, MO 64055 | 2016-10-24 |
| 1497163950 | Carolyn J Wells | Home Health Aide | 13308 E 43rd Terr S, Independence, MO 64055 | 2014-07-29 |
| Find all providers in zip 64055 | ||||
| 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 |
|---|---|---|---|---|
| 1205035284 | Ryan Thomas Miller | Urology | 19001 E 48th St. S, Independence, MO 64055 | 2007-07-11 |
| 1336198845 | Harold Calvin Lentz | Urology | 19001 E 48th St S, Independence, MO 64055 | 2006-05-10 |
| 1245492602 | Andrew B Morris | Urology | 17525 Medical Center Pkwy, Independence, MO 64057-1824 | 2008-06-26 |
| 1891992228 | Elizabeth Piontek | Urology | 19001 E 48th St S, Independence, MO 64055-6964 | 2007-06-29 |
| 1083738116 | James Sanford Mcintosh | Urology | 19001 E 48th St S, Independence, MO 64055-6964 | 2007-03-16 |
| 1346260361 | Andrew David Wright | Urology | 17525 Medical Center Pkwy, Independence, MO 64057-1824 | 2006-07-20 |
| 1679529754 | Midwest Urology & Radiation Oncology, Inc, PC. | Urology | 19001 E 48th St S, Independence, MO 64055-6964 | 2006-05-26 |
| 1114977550 | John Russell Moore | Urology | 19001 E 48th St S, Independence, MO 64055 | 2006-05-10 |
| 1649220088 | Bradley Keith Stanley | Urology | 19001 E 48th St S, Independence, MO 64055 | 2006-05-10 |
| 1720037195 | Robert Juan Biber | Urology | 19001 E 48th St S, Independence, MO 64055-6964 | 2006-05-10 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64055 |
Please comment or provide details below to improve the information on ADVANCED UROLOGIC ASSOCIATES, INC.
| 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.