APP UROLOGY CLINIC (NPI# 1124472246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124472246 |
| Entity Type | Organization |
| Organization Name | APP UROLOGY CLINIC |
| Practice Address |
537 Union Ave Second Floor 2b Grants Pass OR 97527-5543 |
| Mailing Address |
Po Box 748157 Los Angeles CA 90074-8157 |
| Practice Telephone | 5415072020 |
| Practice Fax Number | 5415072021 |
| Mailing Telephone | 5417895250 |
| Mailing Fax Number | 5417895538 |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-14 |
| Authorized Official Name | PATRICK HOCKING (CAFO) |
| Authorized Official Telephone | 5417894916 |
| Is Organization Subpart | Y |
| Parent Organization Name | ASANTE PHYSICIAN PARTNERS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Street Address |
537 UNION AVE SECOND FLOOR 2B |
| City | GRANTS PASS |
| State | OR |
| Zip Code | 97527-5543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902832652 | Samuel D. Mcreynolds | Physician Assistant | 537 Union Ave, Grants Pass, OR 97527-5543 | 2006-06-24 |
| 1255976197 | Alisha Naomi Zauher | Nurse Practitioner | 537 Union Ave, Grants Pass, OR 97527 | 2019-11-14 |
| 1023575891 | Kristen Clark | Specialist/Technologist | 537 Union Ave, Grants Pass, OR 97527-5543 | 2019-02-27 |
| 1225516537 | Jessie Kristen Hermant | Nurse Practitioner | 537 Union Ave, Grants Pass, OR 97527-5543 | 2018-07-30 |
| 1760973739 | Taira Coryn Butler | Registered Nurse | 537 Union Ave, Grants Pass, OR 97527 | 2018-05-24 |
| 1073041158 | Courtney Marie Wedgeworth | Otolaryngology | 537 Union Ave, Grants Pass, OR 97527-5543 | 2017-06-01 |
| 1073063772 | Beau J Shelton | Physician Assistant | 537 Union Ave, Grants Pass, OR 97527-5543 | 2016-10-06 |
| 1578918546 | Gabrielle Marie Fey | Registered Nurse | 537 Union Ave, Grants Pass, OR 97527-5543 | 2016-04-27 |
| 1093169104 | App Ent | Otolaryngology | 537 Union Ave, Second Floor -2c, Grants Pass, OR 97527-5543 | 2016-04-15 |
| 1811341928 | App Orthopedic Clinic | Orthopaedic Surgery | 537 Union Ave, Second Floor 2a, Grants Pass, OR 97527-5543 | 2016-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528618600 | Sandra J Campos | Technician | 365 Sleepy Hollow Loop, Grants Pass, OR 97527 | 2019-09-19 |
| 1720501026 | Kelly Bates | Massage Therapist | 501 Cheney Creek Rd, Grants Pass, OR 97527 | 2017-07-19 |
| 1740650134 | Sara Brelsford | Nurse Practitioner | 1075 Sw Grandview Avenue, Suite 200, Grants Pass, OR 97527 | 2015-09-29 |
| 1962816348 | Kimberly Hathaway | Counselor | 320 Ramsey Place, Grants Pass, OR 97527 | 2014-06-13 |
| 1801216999 | Christina Ann Marie Schultz | Massage Therapist | 242 Curtis Drive, Grants Pass, OR 97527 | 2014-04-16 |
| 1013343359 | Shaunte Angelique Duron | Counselor | 711 Sw Ramsey Avenue, Grants Pass, OR 97527 | 2013-09-18 |
| 1063848547 | Megan Faye Armstrong | Behavioral Analyst | 715 Ramsey Aveenue, Grants Pass, OR 97527 | 2013-09-17 |
| 1124454608 | Mark Albert Cook | Behavioral Analyst | 1153 Sw Cal Allen Lane, Grants Pass, OR 97527 | 2013-09-17 |
| 1952741969 | Mitchell K Sheeler | Denturist | 1850 Williams Hwy, Grants Pass, OR 97527 | 2013-07-05 |
| 1790038339 | White City Vamc | Clinic/Center | 1877 Williams Highway, Grants Pass, OR 97527 | 2012-10-19 |
| Find all providers in zip 97527 | ||||
| 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 |
|---|---|---|---|---|
| 1144470568 | Daniel R Khalil | Urology | 700 Sw Ramsey Suite 101, Grants Pass, OR 97527-5535 | 2008-09-22 |
| 1073552352 | Robert D Mayer | Urology | 700 Sw Ramsey Ave Ste 101, Grants Pass, OR 97527-5788 | 2006-06-05 |
| 1285610592 | George Lucian Getty | Urology | 214 Ne Outlook Ave, Grants Pass, OR 97526-1412 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609233824 | Jeremiah C. Murphy, M.d., PC | Urology | 19260 Sw 65th Ave Ste 400, Tualatin, OR 97062-5712 | 2016-01-19 |
| 1609200427 | Erika Lynn Mccarthy | Urology | 2973 12th St Se, Salem, OR 97302-3162 | 2013-08-28 |
| 1770826372 | Brian Matthew Blair | Urology | 24900 Se Stark St Ste 103, Gresham, OR 97030 | 2013-04-02 |
| 1376885418 | Sasha Courand Druskin | Urology | 2226 Nw Pettygrove St, Portland, OR 97210-2608 | 2013-03-26 |
| 1871837468 | Kirit S Shah M.d., P.C. | Urology | 171 Ne 102nd Ave, Portland, OR 97220-4169 | 2012-11-20 |
| 1235409236 | Good Samaritan Hospital Corvallis | Urology | 990 Nw Circle Blvd Suite 102, Corvallis, OR 97330-1967 | 2012-01-06 |
| 1679856439 | Thomas William Konowalchuk | Urology | 1070 Ne 7th Dr, Newport, OR 97365-2518 | 2011-09-27 |
| 1730484544 | James Bresee | Urology | 9135 Sw Barnes Rd Ste 663, Portland, OR 97225 | 2011-01-26 |
| 1063734556 | Gene Thomas Baumgarner | Urology | 3986 Mirror Pond Way, Eugene, OR 97408-5954 | 2010-02-24 |
| 1952567653 | Oregon Urology Clinic, P.C. | Urology | 3100 Ne 28th Street Suite C, Lincoln City, OR 97367-4518 | 2008-08-01 |
| Find all providers with the same taxonomy | ||||
| City | GRANTS PASS |
| Zip Code | 97527 |
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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.