UROLOGY CLINIC, SC (NPI# 1235311556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235311556 |
| Entity Type | Organization |
| Organization Name | UROLOGY CLINIC, SC |
| Practice Address |
500 Vincent St Suite D Stevens Point WI 54481-1848 |
| Mailing Address |
Po Box 8031 Appleton WI 54912-8031 |
| Practice Telephone | 7152959939 |
| Practice Fax Number | 7152959946 |
| Mailing Telephone | 9209961345 |
| Mailing Fax Number | 9207390124 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2010-04-07 |
| Authorized Official Name | JOHN R. FULLER (OWNER) |
| Authorized Official Telephone | 7152959939 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 36770-20 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32166500 | 05 |
| Street Address |
500 VINCENT ST SUITE D |
| City | STEVENS POINT |
| State | WI |
| Zip Code | 54481-1848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538161278 | Michael W Cavanaugh | Surgery | 500 Vincent St, Stevens Point, WI 54481-1842 | 2005-08-12 |
| 1346864667 | Carter Alan Hoffman | Physical Therapist | 500 Vincent St, Stevens Point, WI 54481-1842 | 2020-06-02 |
| 1780173914 | Danica Strehlow | Physical Therapist | 500 Vincent St, Stevens Point, WI 54481 | 2018-05-03 |
| 1871020354 | Ryan Klapper | Physical Therapist | 500 Vincent St, Stevens Point, WI 54481-1842 | 2017-05-16 |
| 1750736120 | Orthopaedic Centers of Wisconsin, S.c. | Orthopaedic Surgery | 500 Vincent St, Stevens Point, WI 54481-1842 | 2016-05-04 |
| 1316323454 | Amanda Helt | Specialist/Technologist | 500 Vincent St, Stevens Point, WI 54481-1842 | 2015-07-30 |
| 1578976767 | Kimara L Riggs | Physical Therapist | 500 Vincent St, Stevens Point, WI 54481-1842 | 2014-06-05 |
| 1457771800 | Kristopher Riggs | Physical Therapist | 500 Vincent St, Stevens Point, WI 54481 | 2014-04-24 |
| 1053748855 | Kimberly A Brown | Physician Assistant | 500 Vincent St, Stevens Point, WI 54481-1842 | 2013-10-11 |
| 1144663477 | Michele Marie Utecht | Specialist/Technologist | 500 Vincent St, Stevens Point, WI 54481-1842 | 2013-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309649 | County of Portage | Clinic/Center | 1519 Water Street, Stevens Point, WI 54481 | 2020-06-05 |
| 1700400736 | Sarai Sophia Holbrook | Speech-Language Pathologist | Room 038 Cps, 1901 Fourth Ave., Uw-stevens Point, Stevens Point, WI 54481 | 2020-06-05 |
| 1164994117 | Copperleaf Home Health Inc | Homemaker | 1077 Wilshire Blvd, Stevens Point, WI 54481 | 2018-12-31 |
| 1568980274 | Melissa Jean Gutierrez | Dental Hygienist | 941 Michigan Ave, Stevens Point, WI 54481 | 2017-09-01 |
| 1164946026 | Brittany Rose Larocque | Chiropractor | 3908 Green Ct, Stevens Point, WI 54481 | 2017-08-01 |
| 1245750009 | Alyssa Kate Koth | Speech-Language Pathologist | Rm 038 Cps 1901 Fourth Ave, Unviersity of Wisconsin-stevens Point, Stevens Point, WI 54481 | 2017-06-22 |
| 1881133734 | Teri Jean Edlebeck | Specialist/Technologist | 1017 Williams Street, Stevens Point, WI 54481 | 2017-02-13 |
| 1215475892 | Valerie Lynn Fons | Dental Hygienist | 941 Michigan Avenue, Stevens Point, WI 54481 | 2017-02-03 |
| 1427509439 | Tanner Ozanne | Chiropractor | 2212 Division St, Stevens Point, WI 54481 | 2016-10-14 |
| 1134594765 | Dana Fredrickson | Registered Nurse | 616 Franklin St, Stevens Point, WI 54481 | 2015-12-08 |
| Find all providers in zip 54481 | ||||
| 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 |
|---|---|---|---|---|
| 1427291236 | Dustin Alan Pagoria | Urology | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2009-04-08 |
| 1417111642 | Philip K Hacker | Urology | 900 Illinois Avenue, Stevens Point, WI 54481-3114 | 2008-07-16 |
| 1366536104 | Kenneth E Sparr | Urology | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2006-10-03 |
| 1760583462 | Chirasakdi Ratanawong | Urology | 824 Illinois Ave, Stevens Point, WI 54481-3112 | 2006-09-26 |
| 1801817267 | John R Fuller | Urology | 500 Vincent St, Stevens Point, WI 54481-1842 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649520180 | George Leonard Apfelbach Jr. | Urology | 4098 Main St, Fish Creek, WI 54212-0067 | 2012-09-12 |
| 1346505708 | Kenneth Lowell Day | Urology | 2603 Teal Ave (residence), Wausau, WI 54401-7162 | 2012-07-11 |
| 1356601587 | Fox Valley Urological Associates Sc | Urology | 2700 E Enterprise Ave Ste A, Appleton, WI 54913-7656 | 2012-05-22 |
| 1730445255 | Anand Patel | Urology | 2424 S 90th St Fl 3, West Allis, WI 53227-2455 | 2012-04-10 |
| 1831486117 | Mary Hallman Leikness | Urology | 358 S. Oxford Street, Pob 207, Wautoma, WI 54982-0000 | 2011-07-07 |
| 1710293105 | Charles Copland Smith | Urology | 674 Sunset Circle, Green Bay, WI 54301 | 2010-08-24 |
| 1689991200 | Sean Brady Mcadams | Urology | 720 S Vanburen Street, Suite 301, Green Bay, WI 54301 | 2010-04-21 |
| 1730404385 | Robert J Hartman Jr. | Urology | 10400 75th St Ste 204, Kenosha, WI 53142-7884 | 2010-04-06 |
| 1588998538 | Gary Melvin Licklider | Urology | 5002 Prairie Rose Ct, Middleton, WI 53562-2385 | 2009-09-23 |
| 1376793240 | Raymond Harkavy | Urology | 9440 N. Broadmoor Road, Milwaukee, WI 53217-1309 | 2008-09-26 |
| Find all providers with the same taxonomy | ||||
| City | STEVENS POINT |
| Zip Code | 54481 |
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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.