ROCKY MOUNTAIN UROLOGY,LLC


Address: 1511 Park Ave, Suite F, Columbus, WI 53925-2401
Phone: 9206239970

ROCKY MOUNTAIN UROLOGY,LLC (NPI# 1689871451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689871451
Entity Type Organization
Organization Name ROCKY MOUNTAIN UROLOGY,LLC
Practice Address 1511 Park Ave
Suite F
Columbus
WI 53925-2401
Practice Telephone 9206239970
Practice Fax Number 9206239970
Mailing Telephone 9206239970
Mailing Fax Number 9206239970
Enumeration Date 2007-06-27
Last Update Date 2008-04-20
Authorized Official Name DR. MICHAEL ERVIN KUGLITSCH (OWNER)
Authorized Official Telephone 9206239970
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2088P0231X Urology
Specialization: Pediatric Urology
7089 MT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MT 0081226 05
MT RAILROAD MEDICARE DB7643 01
WI 30673100 05
ID BC IDAHO 8N223 01
ID REGENCY BLUE SHIELD OF ID 000010154126 01
ID 0020103002 05

Office Location

Street Address 1511 PARK AVE
SUITE F
City COLUMBUS
State WI
Zip Code 53925-2401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063059558 Katelyn Michele Knapp Dietitian, Registered 1511 Park Ave, Columbus, WI 53925-2401 2019-12-04
1346776523 John M Bohn Pediatrics 1511 Park Ave, Columbus, WI 53925-2401 2017-05-07
1912329335 Prairie Ridge Health, Inc. Surgery 1511 Park Ave, Columbus, WI 53925-2401 2014-01-21
1326324005 St. Marys Dean Ventures, Inc Durable Medical Equipment & Medical Supplies 1511 Park Ave, Columbus, WI 53925-2401 2011-10-26
1912141433 Elizabeth A Larson Family Medicine 1511 Park Ave, Columbus, WI 53925-2401 2009-04-28
1033370085 Aaron H Thornton Nurse Anesthetist, Certified Registered 1511 Park Ave, Columbus, WI 53925-2401 2008-06-23
1194984880 Family & Sports Orthopaedic Center, LLC Orthopaedic Surgery 1511 Park Ave, Columbus, WI 53925-2401 2008-06-06
1831384874 Dawn Marie Faust Nurse Practitioner 1511 Park Ave, Columbus, WI 53925-2401 2007-09-12
1740343359 Rocky Mountain Urology LLC Urology 1511 Park Ave, Suite F, Columbus, WI 53925-2401 2006-12-18
1548209695 Heidi Hughes Physician Assistant 1511 Park Ave, Columbus, WI 53925-2401 2006-06-05
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1275833659 Beaver Dam Community Hosptials, Inc. Family Medicine 1580 W James St, Columbus, WI 53925 2010-11-01
1497972749 Droessler Chiropractic Sc Chiropractor 1349 Park Avenue, Columbus, WI 53925 2007-04-19
1164487328 Drs Beck & Becker Sc Dentist 1505 Park Ave., Columbus, WI 53925 2006-04-19
1245864735 Margaret Mary Frank Pharmacist 1500 W James St, Columbus, WI 53925 2020-02-24
1487094686 Tiana M Imhoff Physician Assistant 1515 Park Ave, Columbus, WI 53925 2013-07-02
1821343401 Shopko Stores Operating Co LLC Eyewear Supplier (Equipment, not the service) 200 Commerce Dr, Columbus, WI 53925 2012-07-19
1689987372 Erin Renee Hills Nurse Practitioner 1515 Park Ave, Columbus, WI 53925 2010-07-22
1184723645 James Michael Beck Dentist 1505 Park Ave., Columbus, WI 53925 2006-09-21
1194824649 William James Becker Dentist 1505 Park Ave., Columbus, WI 53925 2006-09-21
1689756157 Walgreen Co Pharmacy 1500 W James St, Columbus, WI 53925-1001 2006-10-20
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Taxonomy Information

Taxonomy Code 2088P0231X
Grouping Allopathic & Osteopathic Physicians
Classification Urology
Specialization Pediatric Urology

Taxonomy Definition

Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
Notes: Source: American Academy of Pediatrics [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811218456 Chandra Singh Jeyachandra Berry Urology 700 Childrens Dr, Nationwide Childrens Hospital, Columbus, OH 43205-2696 2010-06-17
1376639302 Stephen Andrew Koff Urology 555 S 18th St, Suite 6d, Columbus, OH 43205-2654 2006-10-05
1447346317 Venkata Ramakrishna Jayanthi Urology 555 S 18th St, Suite 6 D, Columbus, OH 43205-2654 2006-10-05
1457447336 Seth Adam Alpert Urology 700 Childrens Dr, Columbus, OH 43205 2006-10-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457739856 Matthew R Danzig Urology 999 N 92nd St Ste 330, Milwaukee, WI 53226-4875 2015-05-18
1053591990 Urology Institute of Waukesha Sc Urology 1111 Delafield St Ste 12, Waukesha, WI 53188-3431 2007-11-08
1861052441 Walid A Farhat Urology 600 Highland Ave, Madison, WI 53792-0001 2019-06-17
1679888911 Anas Ibrahim Ghousheh Urology 999 N 92nd St, Suite C 330, Milwaukee, WI 53226-4875 2010-08-11
1629042247 Christina Kim Urology 600 Highland Ave, Madison, WI 53792-3793 2006-02-13

Competitor

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City COLUMBUS
Zip Code 53925

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Dataset Information

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.

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