UROLOGY CENTRAL PA (NPI# 1265626170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265626170 |
| Entity Type | Organization |
| Organization Name | UROLOGY CENTRAL PA |
| Practice Address |
1135 Lake Ave Clermont FL 34711-3037 |
| Mailing Address |
10000 W Colonial Dr Suite 285 Ocoee FL 34761-3498 |
| Practice Telephone | 4072986950 |
| Practice Fax Number | 4075782354 |
| Mailing Telephone | 4072986950 |
| Mailing Fax Number | 4075782354 |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2008-01-14 |
| Authorized Official Name | MRS. GHADA HILWA (OFFICE MANAGER) |
| Authorized Official Telephone | 4072997172 |
| Is Organization Subpart | Y |
| Parent Organization Name | FLORIDA INSTITUTE OF RESEARCH MEDICINE AND SURGERY, PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275717605 | Urology Central Pa | Urology | 1135 Lake Ave, Clermont, FL 34711-3037 | 2007-12-20 |
| Street Address |
1135 LAKE AVE |
| City | CLERMONT |
| State | FL |
| Zip Code | 34711-3037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396762126 | Christopher Joseph Guzik Sr. | Family Medicine | 1135 Lake Ave, Clermont, FL 34711-3037 | 2006-07-17 |
| 1881293454 | Mariah Lindsey | Nurse Practitioner | 1135 Lake Ave, Clermont, FL 34711-3037 | 2020-10-23 |
| 1306328067 | Shaunagh Diana Cook | Nurse Practitioner | 1135 Lake Ave, Clermont, FL 34711-3037 | 2018-08-29 |
| 1306231873 | William Jordan Gottschalk | Family Medicine | 1135 Lake Ave, Clermont, FL 34711-3037 | 2015-04-01 |
| 1386076321 | Kelley Winfrey | Family Medicine | 1135 Lake Ave, Clermont, FL 34711-3037 | 2013-08-01 |
| 1396034526 | Gary Michael Winfrey | Family Medicine | 1135 Lake Ave, Clermont, FL 34711-3037 | 2011-03-28 |
| 1275717605 | Urology Central Pa | Urology | 1135 Lake Ave, Clermont, FL 34711-3037 | 2007-12-20 |
| 1861557357 | Clermont Medical Center Pa | Family Medicine | 1135 Lake Ave, Clermont, FL 34711 | 2006-12-26 |
| 1487724365 | Patricia I Wahrenberger | Family Medicine | 1135 Lake Ave, Clermont, FL 34711 | 2006-11-08 |
| 1669542445 | Sherri Sanford | Family Medicine | 1135 Lake Ave, Clermont, FL 34711 | 2006-11-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546344 | Latricia Richards-smith | Nurse Practitioner | 3301 Hancock Rd, Clermont, FL 34711 | 2020-10-21 |
| 1073130399 | Marissa Johnston | Behavioral Analyst | 355 Citrus Tower Blvd Ste 112, Clermont, FL 34711 | 2020-07-02 |
| 1649839432 | New Foundations Aba Therapy, LLC | Community/Behavioral Health | 4327 S Hwy 27 #176 Clermont, Clermont, FL 34711 | 2019-06-06 |
| 1275006504 | Innovative Medical Management Solutions LLC | Skilled Nursing Facility | 1775 Hooks Street, Clermont, FL 34711 | 2019-01-09 |
| 1851867766 | Chantal P Baptiste | Nurse Practitioner | 2040 Oakley Seaver Dr Ste 300, Clermont, FL 34711 | 2018-10-17 |
| 1346739539 | Jennifer Brennan | Behavior Technician | 365 Citrus Tower Blvd Bldg Ste 106, Clermont, FL 34711 | 2018-05-03 |
| 1689163966 | Chelsea Strickland | Physical Therapy Assistant | 10037 Stockbridge St, Clermont, FL 34711 | 2018-05-02 |
| 1316448921 | Dana Renee Ottalagano | Counselor | 1635 E Highway 50 Ste 204, Clermont, FL 34711 | 2018-02-28 |
| 1306353842 | Center of Change Inc. | General Practice | 235 Citrus Tower Blvd Ste 104, Clermont, FL 34711 | 2018-01-05 |
| 1003328642 | Clermont Radiology LLC | Clinic/Center | 3725 South Highway 27, Suite 104, Clermont, FL 34711 | 2017-11-03 |
| Find all providers in zip 34711 | ||||
| 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 |
|---|---|---|---|---|
| 1033401625 | Nahomy Calixte | Urology | 16966 Cagan Ridge Blvd, Clermont, FL 34714-9656 | 2011-05-14 |
| 1831386721 | Kenneth Essig Md Pa | Urology | 235 Citrus Tower Blvd Ste 102, Clermont, FL 34711-2711 | 2007-09-25 |
| 1073714267 | Jamin Vinod Brahmbhatt | Urology | 1920 Don Wickham Dr Ste 130, Clermont, FL 34711-1978 | 2007-05-29 |
| 1154328375 | Jason Eugene Lemoine | Urology | 865 Oakley Seaver Dr, Clermont, FL 34711-1968 | 2005-07-01 |
| 1902243868 | Orlando Physician Specialists LLC | Urology | 235 Citrus Tower Blvd, Suite 102, Clermont, FL 34711-2712 | 2013-05-31 |
| 1275717605 | Urology Central Pa | Urology | 1135 Lake Ave, Clermont, FL 34711-3037 | 2007-12-20 |
| 1386744084 | Gary Alan Kalser | Urology | 865 Oakley Seaver Dr, Clermont, FL 34711-1968 | 2006-09-22 |
| 1134115819 | David H Jablonski | Urology | 865 Oakley Seaver Dr, Clermont, FL 34711-1968 | 2005-09-27 |
| 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 |
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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.