PBM UROLOGY LTD (NPI# 1447321781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447321781 |
| Entity Type | Organization |
| Organization Name | PBM UROLOGY LTD |
| Practice Address |
1215 S 4th St Springfield IL 62703-2259 |
| Practice Telephone | 2175287306 |
| Mailing Telephone | 2175287306 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2007-10-22 |
| Authorized Official Name | EUGENE DIXON (PRESIDENT) |
| Authorized Official Telephone | 2175287306 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE ID | 993660 | 01 |
| Street Address |
1215 S 4TH ST |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62703-2259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700957032 | David Beck | Urology | 1215 S 4th St, Springfield, IL 62703-2259 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790260917 | Jessica Lynne Zeeck | Behavior Technician | 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 | 2018-10-03 |
| 1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
| 1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
| 1558889170 | Ji Woung Choi | Dentist | 687 E Linton Ave., Springfield, IL 62703 | 2017-09-04 |
| 1477006161 | Encompass Home Health of The Midwest,llc | Home Health | 2970 Baker Dr, Springfield, IL 62703 | 2016-07-28 |
| 1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
| 1578993101 | Corey Moore | Behavioral Analyst | 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 | 2013-11-18 |
| 1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
| 1447519111 | Tenshi Furumi | Specialist/Technologist | One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 | 2012-05-15 |
| 1447558390 | Shalini Mulkanoor | Family Medicine | 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 | 2011-03-02 |
| Find all providers in zip 62703 | ||||
| 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 |
|---|---|---|---|---|
| 1649796376 | Urology Associates PC | Urology | 502 Northcrest Dr, Springfield, TN 37172-4066 | 2017-08-15 |
| 1912436015 | Robert Ara Petrossian | Urology | 301 N 8th St # 4b143c, Springfield, IL 62701-1041 | 2017-06-12 |
| 1932463940 | Brandi Dawn Miller | Urology | 1965 S Fremont Ave Ste 370, Springfield, MO 65804-2284 | 2012-06-25 |
| 1699049395 | Harry L. Ellis | Urology | 5034 S Glenhaven Ave, Springfield, MO 65804-7804 | 2012-02-28 |
| 1427121714 | David R Kelley | Urology | 100 Wason Anenue, Suite 120, Springfield, MA 01107-1119 | 2006-11-16 |
| 1942373311 | Charles D Parsons | Urology | 202 S Belmont Ave, Springfield, OH 45505-1224 | 2006-11-15 |
| 1013019439 | Alexander M Berry | Urology | 100 Wason Ave, Suite 240, Holyoke Medicacal Center - Urology, Springfield, MA 01107 | 2006-09-05 |
| 1972615748 | Thomas E. Baron | Urology | 800 N. 1st Street, Springfield, IL 62702 | 2006-08-31 |
| 1265405914 | Eric Espinosa | Urology | 1164 E Home Rd, Suite J, Springfield, OH 45503-2726 | 2006-02-10 |
| 1982681342 | Panchanan Satpathy | Urology | 2104a Park Place Cir, Springfield, TN 37172 | 2005-12-28 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62703 |
Please comment or provide details below to improve the information on PBM UROLOGY LTD.
| 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.