ATLANTIC UROLOGICAL ASSOCIATES P A (NPI# 1174792642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174792642 |
| Entity Type | Organization |
| Organization Name | ATLANTIC UROLOGICAL ASSOCIATES P A |
| Practice Address |
21 Hospital Dr Suite 140 Palm Coast FL 32164-2380 |
| Mailing Address |
545 Health Blvd Daytona Beach FL 32114-1493 |
| Practice Telephone | 3864458530 |
| Practice Fax Number | 3864465087 |
| Mailing Telephone | 3862398500 |
| Mailing Fax Number | 3862747126 |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-02-28 |
| Authorized Official Name | REINE C TEBBE (BILLING MANAGER) |
| Authorized Official Telephone | 3862744959 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | FL | 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 |
| 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 |
| 1134340615 | Atlantic Urological Associates P A | Urology | 19 Old Kings Rd N, Suite C101, Palm Coast, FL 32137-8260 | 2007-05-01 |
| Street Address |
21 HOSPITAL DR SUITE 140 |
| City | PALM COAST |
| State | FL |
| Zip Code | 32164-2380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558802959 | Christina Ratliff | Nurse Practitioner | 21 Hospital Dr, Suite 140, Palm Coast, FL 32164-2452 | 2017-03-17 |
| 1528416096 | Advanced Urology Institute LLC | Non-Pharmacy Dispensing Site | 21 Hospital Dr, Ste 140, Palm Coast, FL 32164-2452 | 2016-05-25 |
| 1770967077 | Metcare of Palm Coast | Family Medicine | 21 Hospital Dr, Suite 125, Palm Coast, FL 32164-2452 | 2015-07-16 |
| 1891181194 | Chamion N. Olivier Md Pa | Internal Medicine | 21 Hospital Dr, Suite 290, Palm Coast, FL 32164-2452 | 2015-04-13 |
| 1033500624 | Coastal Family Healthcare LLC | Family Medicine | 21 Hospital Dr, Suite 280, Palm Coast, FL 32164-2452 | 2015-02-18 |
| 1578854477 | Florida Woman Care, LLC | Obstetrics & Gynecology | 21 Hospital Dr, Suite 270, Palm Coast, FL 32164-2452 | 2011-04-26 |
| 1326359274 | Caroline M Sargeant | Nurse Practitioner | 21 Hospital Dr, Suite 270, Palm Coast, FL 32164-2452 | 2010-06-25 |
| 1962644914 | Ips of Palm Coast LLC | Nurse Anesthetist, Certified Registered | 21 Hospital Dr, Ste 220, Palm Coast, FL 32164-2452 | 2009-04-06 |
| 1396987350 | Spinecare of Palm Coast LLC | Pain Medicine | 21 Hospital Dr, Ste 220, Palm Coast, FL 32164-2452 | 2009-04-06 |
| 1598907552 | Mua Center of Palm Coast LLC | Clinic/Center | 21 Hospital Dr, Ste 220, Palm Coast, FL 32164-2452 | 2009-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417561044 | Ereka Manangan | Pharmacist | 5000 E, Fl-100, Palm Coast, FL 32164 | 2020-09-01 |
| 1427661735 | George Allen Parker | Pharmacist | 5000 E Hwy 100, Palm Coast, FL 32164 | 2020-08-26 |
| 1891318424 | Faithangel Corp | In Home Supportive Care | 125 Pine Grove Dr, Palm Coast, FL 32164 | 2020-05-18 |
| 1578101481 | Sweetie Peetie LLC | Hearing Instrument Specialist | 160 Cypress Point Parkway, Ste A108, Palm Coast, FL 32164 | 2019-12-11 |
| 1831656610 | Dolphin Medical Transport LLC | Taxi | 30 Westmoreland Dr, Palm Coast, FL 32164 | 2019-02-27 |
| 1003389024 | Southeast Snoring & Sleep Apnea Group | Durable Medical Equipment & Medical Supplies | 108 Pennacles Dr. #101, Palm Coast, FL 32164 | 2019-01-03 |
| 1801388137 | Lily Michelle King | Licensed Practical Nurse | 8 Regent Ln, Palm Coast, FL 32164 | 2018-06-01 |
| 1558880120 | Bryan Mendes | Physical Therapist | 1 Westrock Ln, Palm Coast, FL 32164 | 2017-09-14 |
| 1477077451 | Sharon Denise Astrologo | Case Manager/Care Coordinator | 421 S. Keech St., Daytona Beach, FL 32164 | 2017-08-01 |
| 1952825283 | Emily Guarino | Behavior Technician | 136a Wellwood Lane, Palm Coast, FL 32164 | 2017-07-28 |
| Find all providers in zip 32164 | ||||
| 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 |
| 1134340615 | Atlantic Urological Associates P A | Urology | 19 Old Kings Rd N, Suite C101, Palm Coast, FL 32137-8260 | 2007-05-01 |
| 1245281179 | Terrence C Regan | Urology | 21 Hospital Dr Ste 140, Palm Coast, FL 32164 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | 32164 |
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.