BURLINGTON UROLOGY PC (NPI# 1407831365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407831365 |
| Entity Type | Organization |
| Organization Name | BURLINGTON UROLOGY PC |
| Practice Address |
400 S Broadway St Burlington IA 52601 |
| Practice Telephone | 3197532747 |
| Practice Fax Number | 3197524300 |
| Mailing Telephone | 3197532747 |
| Mailing Fax Number | 3197524300 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KRAMAR R MULLENGI (PRESIDENT) |
| Authorized Official Telephone | 3197532747 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 31796 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 152454 | 05 | |
| IA | BCBS | 4517 | 01 |
| IA | RR MEDICARE | 40017885 | 01 |
| Street Address |
400 S BROADWAY ST |
| City | BURLINGTON |
| State | IA |
| Zip Code | 52601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730667353 | Emmalee Claire Morgan | Counselor | 400 S Broadway St, Burlington, IA 52601-9407 | 2018-08-06 |
| 1003309915 | Patti Dobbe | Counselor | 400 S Broadway St, Burlington, IA 52601-9407 | 2018-06-14 |
| 1952894008 | Chris Alan Dobbe | Counselor | 400 S Broadway St, Burlington, IA 52601-9407 | 2018-06-13 |
| 1720578982 | Steven M Bantz | Counselor | 400 S Broadway St, Burlington, IA 52601-9407 | 2018-05-14 |
| 1205382686 | Angela Johns | Social Worker | 400 S Broadway St, Burlington, IA 52601-9407 | 2016-08-26 |
| 1740631472 | Brad Strong | Counselor | 400 S Broadway St, Burlington, IA 52601-9407 | 2016-06-23 |
| 1942659818 | Jennifer Sloan | Counselor | 400 S Broadway St, Burlington, IA 52601-9407 | 2016-06-10 |
| 1568828713 | Erin Mafra | Counselor | 400 S Broadway St, Burlington, IA 52601 | 2016-01-04 |
| 1235502410 | Tina Watznauer | Social Worker | 400 S Broadway St, Burlington, IA 52601-9407 | 2015-11-10 |
| 1265804272 | Michael James Monfils | Social Worker | 400 S Broadway St, Burlington, IA 52601-9407 | 2015-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033748017 | Quentin Eugene Hill | Technician | 528 South 7th St, Burlington, IA 52601 | 2020-04-02 |
| 1619320645 | Alisa Nicole Smith | Social Worker | 409 N. 4th St., Burlington, IA 52601 | 2016-07-14 |
| 1568870020 | Denise Reichman | Registered Nurse | 2509 Sunrise Ln, Burlington, IA 52601 | 2014-07-29 |
| 1891131355 | Ainsley Joyce Fedler | Speech-Language Pathologist | 9302 Glenmark Drive, Burlington, IA 52601 | 2013-05-10 |
| 1851640932 | Melissa A Rupp | Optometrist | 1035 Lawrence Drive, Suite 106, Burlington, IA 52601 | 2012-09-05 |
| 1508123068 | Advanced Home Health Care | Home Health | 550 S. Roosevelt, Burlington, IA 52601 | 2012-04-20 |
| 1144591926 | David Eric Johnson | Pharmacist | 201 South Central, Burlington, IA 52601 | 2012-01-25 |
| 1548537525 | Michael James Colgan | Pharmacist | 3245 Agency Street, Burlington, IA 52601 | 2011-11-19 |
| 1881971190 | Elaine Frances Lehman | Counselor | 724 North 3rd St., Burlington, IA 52601 | 2011-11-15 |
| 1992086508 | Jacqueline Gwen Robbins | Counselor | 4715 Sullivan Slough Road, Burlington, IA 52601 | 2011-09-09 |
| Find all providers in zip 52601 | ||||
| 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 |
|---|---|---|---|---|
| 1043710791 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 | 2018-02-20 |
| 1366983322 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Physician Community I Inc, 41 Mall Rd., Burlington, MA 01805-0001 | 2017-03-10 |
| 1114293727 | Benjamin King | Urology | 111 Colchester Ave # Ep-5, Burlington, VT 05401-1473 | 2012-03-28 |
| 1760656078 | Jab Inc | Urology | 64 Colchester Avenue, Burlington, VT 05401-1417 | 2008-04-17 |
| 1619174612 | Brian Hilbert Irwin | Urology | 111 Colchester Ave. Acc/ Ep5, Fahc Urology, Burlington, VT 05401 | 2007-07-02 |
| 1902975428 | Michael Richard Wolff | Urology | 841 Heather Rd, Burlington, NC 27215-6288 | 2006-11-07 |
| 1205934247 | John A Bisson | Urology | 64 Colchester Ave, Burlington, VT 05401-1417 | 2006-09-21 |
| 1023011517 | Eric Richmond Sargent | Urology | 111 Colchester Avenue, East Pavilion 5, Burlington, VT 05401 | 2005-05-27 |
| 1457745903 | Curtis Howard Cleveland | Urology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2015-03-23 |
| 1609264522 | Concord Specialists, LLC | Urology | 41 Mall Rd, Legal Dept., Burlington, MA 01805-0001 | 2014-12-30 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 52601 |
Please comment or provide details below to improve the information on BURLINGTON UROLOGY PC.
| 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.