ADULT & PEDIATRIC UROLOGY PC (NPI# 1730212614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730212614 |
| Entity Type | Organization |
| Organization Name | ADULT & PEDIATRIC UROLOGY PC |
| Practice Address |
2206 Longo Dr Ste 105 Bellevue NE 68005-2977 |
| Mailing Address |
Po Box 8577 Omaha NE 68108-0577 |
| Practice Telephone | 4023977989 |
| Practice Fax Number | 4022920679 |
| Mailing Telephone | 4023977989 |
| Mailing Fax Number | 4023978703 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. EUCLID J DESOUZA (CEO) |
| Authorized Official Telephone | 4023977989 |
| Authorized Official Credential | M.D. |
| 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 |
|---|---|---|---|---|
| 1245363654 | Adult & Pediatric Urology PC | Urology | 631 N 8th St, Missouri Valley, IA 51555 | 2007-03-14 |
| 1003949918 | Adult & Pediatric Urology PC | Urology | 1213 Garfield Ave, Harlan, IA 51537-2057 | 2007-03-13 |
| 1831222702 | Adult & Pediatric Urology PC | Urology | 17055 Frances St, Ste 102, Omaha, NE 68130-4655 | 2007-03-13 |
| 1568595452 | Adult & Pediatric Urology PC | Urology | 1501 E 10th St, Atlantic, IA 50022-1936 | 2007-03-13 |
| 1437282308 | Adult & Pediatric Urology PC | Urology | 3434 W Broadway, Suite 102, Council Bluffs, IA 51501-3291 | 2007-03-13 |
| Street Address |
2206 LONGO DR STE 105 |
| City | BELLEVUE |
| State | NE |
| Zip Code | 68005-2977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891755633 | Rebecca Kay Gehringer | Physical Therapist | 2206 Longo Dr, Bellevue, NE 68005-2977 | 2006-03-24 |
| 1821615337 | Nicole Weedman | Physician Assistant | 2206 Longo Dr, Bellevue, NE 68005-2901 | 2020-06-30 |
| 1144774191 | Bailee Shupp | Physical Therapist | 2206 Longo Dr, Suite 211, Bellevue, NE 68005-2901 | 2016-08-08 |
| 1093167942 | Daniel Klein | Physical Therapist | 2206 Longo Dr, #211, Bellevue, NE 68005-2901 | 2016-07-04 |
| 1649550070 | Nicole Sova | Physical Therapist | 2206 Longo Dr, Suite 211, Bellevue, NE 68005-2901 | 2011-08-16 |
| 1588991129 | Angela Sue Davis | Physical Therapist | 2206 Longo Dr, Suite 211, Bellevue, NE 68005-2977 | 2009-11-03 |
| 1629200621 | Bellevue Pediatric Center PC | Pediatrics | 2206 Longo Dr, #210, Bellevue, NE 68005-2977 | 2009-08-10 |
| 1598995292 | Sara Anne Pohl | Physical Therapist | 2206 Longo Dr, Suite 211, Bellevue, NE 68005-2977 | 2009-07-16 |
| 1023269818 | Omaha Vamc | Clinic/Center | 2206 Longo Dr, Bellevue, NE 68005-2901 | 2008-10-10 |
| 1710165204 | Anja E Armitage | Physician Assistant | 2206 Longo Dr, #201, Bellevue, NE 68005-2977 | 2008-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988325 | Melissa Ann Jansen | Social Worker | Mission Middle School, Bellevue, NE 68005 | 2020-10-06 |
| 1295352144 | Angel Lowery | Counselor | 112 E Mission Ave, Bellevue, NE 68005 | 2020-06-26 |
| 1760915656 | Maria Clark | Counselor | 1620 Wilshire Dr Ste 222, Bellevue, NE 68005 | 2017-04-06 |
| 1427420512 | Daryan Whaler | Specialist/Technologist | 1000 Galvin Rd S, Bellevue, NE 68005 | 2015-10-28 |
| 1750704623 | Joseph Gavis Councill IIi | Nurse Practitioner | 919 Galvin Rd. S., Suite A, Bellevue, NE 68005 | 2014-01-29 |
| 1205265501 | Rebecca Parsons | Speech-Language Pathologist | 510 W 22nd Avenue, Bellevue, NE 68005 | 2013-11-06 |
| 1649524174 | Tammy Lee Winkler-bitzes | Physical Therapist | 1820 Hillcrest Dr Suite A, Belleuve, NE 68005 | 2012-11-06 |
| 1811268311 | Charice M Butler | Counselor | 919 Galvin Rd S. Ste A, Bellevue, NE 68005 | 2012-01-16 |
| 1184991945 | Angela M Matney | Pharmacist | Hwy 370 & Galvin Road, Bellevue, NE 68005 | 2011-11-22 |
| 1770878852 | Sarah Cathryn Sedlak | Physical Therapist | 2206 Longo Drive, Ste 211, Excel Physical Therapy, Bellevue, NE 68005 | 2011-06-16 |
| Find all providers in zip 68005 | ||||
| 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 |
| 1649594318 | Executive Urology | Urology | 290 Progress Dr, Suite C, Bellevue, OH 44811-9099 | 2010-03-24 |
| 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 |
| 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.