ATLANTIC UROLOGICAL ASSOCIATES P A (NPI# 1134340615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134340615 |
| Entity Type | Organization |
| Organization Name | ATLANTIC UROLOGICAL ASSOCIATES P A |
| Practice Address |
19 Old Kings Rd N Suite C101 Palm Coast FL 32137-8260 |
| Mailing Address |
545 Health Blvd Daytona Beach FL 32114-1493 |
| Practice Telephone | 3864458546 |
| Mailing Telephone | 3862398500 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2008-02-14 |
| Authorized Official Name | JERRI CREGGAR (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 3862398500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407812092 | Atlantic Urological Associates P A | Urology | 545 Health Blvd, Daytona Beach, FL 32114-1493 | 2006-04-24 |
| 1174792642 | Atlantic Urological Associates P A | Urology | 21 Hospital Dr, Suite 140, Palm Coast, FL 32164-2380 | 2008-02-28 |
| 1659586840 | Atlantic Urological Associates P A | Urology | 545 Health Blvd, Daytona Beach, FL 32114-1493 | 2007-05-11 |
| 1932321429 | Atlantic Urological Associates P A | Urology | 633 Dunlawton Ave, Suite 2, Port Orange, FL 32127 | 2007-05-03 |
| 1114148574 | Atlantic Urological Associates P A | Urology | 1620 Mason Ave, Suite E, Daytona Beach, FL 32117-7802 | 2007-05-02 |
| 1548481054 | Atlantic Urological Associates P A | Urology | 545 Health Blvd, Daytona Beach, FL 32114-1493 | 2007-05-01 |
| 1881815561 | Atlantic Urological Associates P A | Urology | 506 Palmetto St, New Smyrna Beach, FL 32168-7325 | 2007-05-01 |
| 1285855890 | Atlantic Urological Associates P A | Urology | 1061 Medical Center Dr, Suite 300, Orange City, FL 32763-8200 | 2007-05-01 |
| 1053532572 | Atlantic Urological Associates P A | Urology | 2460 Old Moultrie Rd, Suite 5, St Augustine, FL 32086-4197 | 2007-05-01 |
| Street Address |
19 OLD KINGS RD N SUITE C101 |
| City | PALM COAST |
| State | FL |
| Zip Code | 32137-8260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184688251 | Domenic Marini | Specialist | 19 Old Kings Rd N, Suite C-106, Palm Coast, FL 32137-8260 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617505 | Palm Coast Alf Management LLC | Assisted Living Facility | 3830 Old Kings Road, Palm Coast, FL 32137 | 2020-07-29 |
| 1093324964 | Akilah Collins | Behavior Technician | 515 Palm Coast Pwky Sw, Suite 6, Palm Coast, FL 32137 | 2020-07-27 |
| 1750929477 | Jeanette Ann Stevens | Technician | 1 Lema Place, Palm Coast, FL 32137 | 2019-12-12 |
| 1649816919 | Patrick Meyer | Occupational Therapy Assistant | 9 Pine Cone Drive, Palm Coast, Palm Coast, FL 32137 | 2019-11-21 |
| 1689230385 | Coastal Care Medical Transport | Non-emergency Medical Transport (VAN) | #2b, 1 Hargrove Grde, Palm Coast, FL 32137 | 2019-05-17 |
| 1407357437 | Palm Coast Counseling, LLC | Counselor | 1 Hargrove Grade, Ste B-1, Palm Coast, FL 32137 | 2018-02-25 |
| 1679081459 | Lance J Langston | Behavior Technician | 2 Crosstie Ct, Palm Coast, FL 32137 | 2018-01-16 |
| 1407360712 | Hanna Mercedes Brown | Behavior Technician | 515 Palm Coast Pkwy, Suite 6/7, Palm Coast, FL 32137 | 2017-11-22 |
| 1760994511 | Sophia's Choice Hands That Help, LLC | Custodial Care Facility | 119 Bud Hollow Dr, Palm Coast, FL 32137 | 2017-11-02 |
| 1922543255 | Megan Katherine Dickerson | Physical Therapist | 250 Palm Coast Pkwy Ne Unit 209a, Palm Coast, FL 32137 | 2016-12-22 |
| Find all providers in zip 32137 | ||||
| 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 |
|---|---|---|---|---|
| 1568856144 | Rodman Carter | Urology | 8 Cedarford Ct, Palm Coast, FL 32137-8949 | 2015-03-23 |
| 1174574180 | Jeffrey A Dann | Urology | 21 Hospital Dr Ste 140, Palm Coast, FL 32164 | 2006-05-15 |
| 1174792642 | Atlantic Urological Associates P A | Urology | 21 Hospital Dr, Suite 140, Palm Coast, FL 32164-2380 | 2008-02-28 |
| 1245281179 | Terrence C Regan | Urology | 21 Hospital Dr Ste 140, Palm Coast, FL 32164 | 2006-05-15 |
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|---|---|---|---|---|
| 1770193450 | Urotelemedicine LLC | Urology | 8669 Nw 36th St Ste 325, Doral, FL 33166-6698 | 2020-08-06 |
| 1700411618 | Ackerman Cancer Center, Pa | Urology | 159 North 3rd St, Macclenny, FL 32063-2103 | 2020-03-11 |
| 1043844483 | Jesse Aaron Ory | Urology | 5555 Ponce De Leon Blvd Fl 4, Coral Gables, FL 33146-2513 | 2020-02-25 |
| 1215591565 | Advent Health | Urology | 420 Celebration Ave, Celebration, FL 34747-4683 | 2019-04-23 |
| 1710442264 | Urologic Specialists of Central Florida Pllc | Urology | 575 S Wickham Rd Ste A, West Melbourne, FL 32904-1170 | 2019-02-08 |
| 1578028197 | Prody Urology, Pllc | Urology | 575 S Wickham Rd Ste B, West Melbourne, FL 32904-1170 | 2019-02-07 |
| 1366916843 | Dr. Carolyn Langford Urologic Solutions, LLC | Urology | 9400 Gladiolus Dr Ste 30, Fort Myers, FL 33908-9615 | 2019-01-17 |
| 1376016568 | Advanced Innovative Urology Pa | Urology | 4737 N Ocean Dr Ste 103, Lauderdale By The Sea, FL 33308-2920 | 2019-01-10 |
| 1306314281 | Urology Consultants of Boca Raton Pa | Urology | 825 Meadows Rd Ste 111, Boca Raton, FL 33486-2347 | 2018-11-08 |
| 1013490309 | Seetharam Bhat Kulthe Ramesh | Urology | 401 Celebration Pl Ste 200, Celebration, FL 34747-4971 | 2018-09-12 |
| Find all providers with the same taxonomy | ||||
| City | PALM COAST |
| Zip Code | 32137 |
Please comment or provide details below to improve the information on ATLANTIC UROLOGICAL ASSOCIATES P A.
| 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.