ADVANCED UROLOGY, PLLC (NPI# 1548810120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548810120 |
| Entity Type | Organization |
| Organization Name | ADVANCED UROLOGY, PLLC |
| Practice Address |
300 Exempla Cir Ste 250 Lafayette CO 80026-3392 |
| Mailing Address |
25 Crossroads Dr Ste 306 Owings Mills MD 21117-5437 |
| Practice Telephone | 7205363011 |
| Mailing Telephone | 4437382889 |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |
| Authorized Official Name | MARY LAUTERBACH (SR CRED SPEC) |
| Authorized Official Telephone | 4437382889 |
| Authorized Official Credential | ADMINISTRATION |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981833 | Advanced Urology, Pllc | Urology | 500 W 144th Ave Ste 220, Westminster, CO 80023-9328 | 2019-09-16 |
| 1316597990 | Advanced Urology, Pllc | Urology | 1411 S Potomac St Ste 210, Aurora, CO 80012-4538 | 2019-09-16 |
| 1629628201 | Advanced Urology, Pllc | Urology | 2030 Mountain View Ave Ste 420, Longmont, CO 80501-3182 | 2019-09-16 |
| 1528618303 | Advanced Urology, Pllc | Urology | 4743 Arapahoe Ave Ste 104, Boulder, CO 80303-1123 | 2019-09-13 |
| 1083264113 | Advanced Urology, Pllc | Urology | 11960 Lioness Way Ste 210, Parker, CO 80134-5644 | 2019-09-20 |
| 1497305072 | Advanced Urology, Pllc | Urology | 11960 Lioness Way Ste 210, Parker, CO 80134-5644 | 2019-09-16 |
| 1356991939 | Advanced Urology, Pllc | Urology | 90 Health Park Dr Ste 340, Louisville, CO 80027-9586 | 2019-09-16 |
| 1699325274 | Advanced Urology, Pllc | Urology | 32135 Castle Ct Ste 101, Evergreen, CO 80439-8006 | 2019-09-16 |
| 1841840329 | Advanced Urology, Pllc | Urology | 1610 Prairie Center Pkwy Ste 2230, Brighton, CO 80601-4008 | 2019-09-16 |
| 1972153559 | Advanced Urology, Pllc | Urology | 400 Indiana St Ste 300, Golden, CO 80401-5027 | 2019-09-16 |
| Street Address |
300 EXEMPLA CIR STE 250 |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-3392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881012722 | Julio Tian-fa Chong | Urology | 300 Exempla Cir Ste 250, Lafayette, CO 80026-3392 | 2014-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| Find all providers in zip 80026 | ||||
| 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 |
|---|---|---|---|---|
| 1881012722 | Julio Tian-fa Chong | Urology | 300 Exempla Cir Ste 250, Lafayette, CO 80026-3392 | 2014-03-28 |
| 1093973984 | Charles Bruce Williams Jr. | Urology | 913 S College Rd Ste 203, Lafayette, LA 70503-3062 | 2008-05-28 |
| 1467540344 | Jeannette M Chassaignac | Urology | 1016 Coolidge Blvd, Lafayette, LA 70503-2436 | 2006-10-10 |
| 1275634107 | Jeffrey J Thibodeaux | Urology | 200-a Energy Parkway, Suite 209, Lafayette, LA 70508 | 2006-09-25 |
| 1851333520 | Emilia Ripoll | Urology | 120 Old Laramie Trail East, Lafayette, CO 80026-5600 | 2006-06-10 |
| 1528420858 | Unity Healthcare, LLC | Urology | 1345 Unity Pl, Suite 110a, Lafayette, IN 47905-5760 | 2016-03-25 |
| 1750775672 | Hyosang Abraham Chiang | Urology | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2015-03-28 |
| 1417369604 | Daniel B Abbott | Urology | 5177 Mccarty Ln, Lafayette, IN 47905-8764 | 2014-05-22 |
| 1760612865 | Southern Urology LLC | Urology | 1016 Coolidge Blvd, Lafayette, LA 70503-2436 | 2009-07-23 |
| 1205060175 | Jason Bourque | Urology | 120 Rue Louis Xiv, Lafayette, LA 70508-5739 | 2009-05-07 |
| Find all providers in LAFAYETTE | ||||
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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.