EXECUTIVE UROLOGY (NPI# 1649594318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649594318 |
| Entity Type | Organization |
| Organization Name | EXECUTIVE UROLOGY |
| Practice Address |
290 Progress Dr Suite C Bellevue OH 44811-9099 |
| Mailing Address |
2800 Hayes Ave Bldg D Sandusky OH 44870-7248 |
| Practice Telephone | 4194841701 |
| Mailing Telephone | 4196278771 |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2010-03-24 |
| Authorized Official Name | DR. ROBERT W RICE (PRESIDENT) |
| Authorized Official Telephone | 4196278771 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RAILROAD MEDICARE | CG9157 | 01 |
| OH | 2282328 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194049866 | Executive Urology | Urology | 278 Benedict Ave, Suite 650, Norwalk, OH 44857-2399 | 2010-03-24 |
| 1588694814 | Executive Urology | Urology | 2800 Hayes Ave, Bldg D, Sandusky, OH 44870-7248 | 2006-07-03 |
| Street Address |
290 PROGRESS DR SUITE C |
| City | BELLEVUE |
| State | OH |
| Zip Code | 44811-9099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031420 | David Clark Girvin | Family Medicine | 290 Progress Dr, Suite D, Bellevue, OH 44811-9099 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275979296 | Samuel Elias Ross | Family Medicine | 1255 W Main St Ste B, Bellevue, OH 44811 | 2013-05-16 |
| 1376780379 | Firelands Regional Medical Center | General Acute Care Hospital | 290 Progress Drive, Suite A, Bellevue, OH 44811 | 2009-01-13 |
| 1619195914 | Michael Barry Brunner | Pharmacist | 234 W Main Street, Bellevue, OH 44811 | 2007-04-23 |
| 1952524704 | April L Ptak | Massage Therapist | 855 West Main St, Suite E, Bellevue, OH 44811 | 2007-04-10 |
| 1215150057 | Erica Drossman | Massage Therapist | 855 West Main Street, Suite E, Bellevue, OH 44811 | 2007-04-10 |
| 1275644981 | Cornerstone Psychological Affiliates | Counselor | 817 Kilbourne St, Suite F, Bellevue, OH 44811 | 2006-08-31 |
| 1528172475 | Bhms Inc | Durable Medical Equipment & Medical Supplies | 234 West Main St, Bellevue, OH 44811 | 2006-08-18 |
| 1750494530 | Mark Allen Motley | Optometrist | 1355 West Main St, Bellevue, OH 44811 | 2006-08-16 |
| 1487675567 | Orville Rene Amburn | Family Medicine | 250 Castalia St, G, Bellevue, OH 44811 | 2006-07-22 |
| 1457320095 | Erie Surgical Associates | Surgery | 1400 West Main St, Suite D, Bellevue, OH 44811 | 2006-03-16 |
| Find all providers in zip 44811 | ||||
| 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 |
|---|---|---|---|---|
| 1598182818 | Boston Medical Group- Washington, P.C. | Urology | 12301 N.e. 10th Place, Suite 101, Bellevue, WA 98005 | 2014-03-25 |
| 1538331665 | Khanh Ngoc Pham | Urology | 1135 116th Ave Ne Ste 620, Bellevue, WA 98004-4636 | 2008-03-28 |
| 1033298674 | Robert M Weissman | Urology | 1135 Ne 116th Ave., Suite 620, Bellevue, WA 98004 | 2006-11-03 |
| 1447348347 | Richard Stuart Pelman | Urology | 3100 Northup Way, Bellevue, WA 98004-1467 | 2006-10-10 |
| 1598794240 | Bellevue Urology Associates Inc Ps | Urology | 1135 Ne 116th Ave, Suite 620, Bellevue, WA 98004 | 2006-07-02 |
| 1952673238 | Northwest Center for Urology | Urology | 1135 116th Ave Ne, Ll160, Bellevue, WA 98004-4629 | 2012-02-02 |
| 1962719302 | Washington Urology Associates, Pllc | Urology | 1135 116th Ave Ne, Suite 620, Bellevue, WA 98004-4623 | 2010-09-07 |
| 1801087598 | Susan Kupferman Md Pllc | Urology | 1600 116th Ave Ne, #104, Bellevue, WA 98004-3014 | 2007-08-07 |
| 1083730394 | Wendy Siu | Urology | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2007-03-21 |
| 1730212614 | Adult & Pediatric Urology PC | Urology | 2206 Longo Dr, Ste 105, Bellevue, NE 68005-2977 | 2007-03-13 |
| Find all providers in BELLEVUE | ||||
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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.