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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
7089 | MT | Allopathic & Osteopathic Physicians |
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 |
Street Address |
1511 PARK AVE SUITE F |
City | COLUMBUS |
State | WI |
Zip Code | 53925-2401 |
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 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Find all providers in zip 53925 |
Taxonomy Code | 2088P0231X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
Specialization | Pediatric Urology |
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] |
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 |
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 |
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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.