ROCKY MOUNTAIN UROLOGY LLC (NPI# 1740343359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740343359 |
| 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 | 9206239989 |
| Mailing Telephone | 9206239970 |
| Mailing Fax Number | 9206239989 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DR. MICHAEL ERVIN KUGLITSCH (OWNER EMPLOYEE) |
| Authorized Official Telephone | 9206239970 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 24077 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30673100 | 05 | |
| MT | RAILROAD MEDICARE | DB7643 | 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 |
| 1689871451 | Rocky Mountain Urology,llc | Urology | 1511 Park Ave, Suite F, Columbus, WI 53925-2401 | 2007-06-27 |
| 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 | 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 |
|---|---|---|---|---|
| 1932594249 | Elizabeth Chang Wendel | Urology | 1538 13th Ave Ste B250, Columbus, GA 31901-2565 | 2015-04-02 |
| 1073932091 | Eric Jacob Fichtenbaum | Urology | 500 E Main St Ste 220, Columbus, OH 43215-5369 | 2014-04-08 |
| 1992123509 | Raunak Patel | Urology | 500 Thomas Ln Ste G, Columbus, OH 43214-3902 | 2014-04-01 |
| 1942563069 | John Alex Brockman | Urology | 5141 W Broad St Ste 180, Columbus, OH 43228-1992 | 2012-06-22 |
| 1699092056 | Kenneth Delay | Urology | 1538 13th Ave Ste A, Columbus, GA 31901-2544 | 2010-04-26 |
| 1750596094 | Central Ohio Urology Group, Inc. | Urology | 3100 Plaza Properties Blvd., Suite 320, Columbus, OH 43219 | 2007-05-11 |
| 1376667212 | Robert Allen Berkman | Urology | 279 S Drexel Ave, Columbus, OH 43209-1742 | 2007-03-17 |
| 1609923796 | Rice and Lake Urology LLP | Urology | 2000 10th Ave Suite 150, Columbus, GA 31901 | 2007-01-04 |
| 1407924053 | Southern Indiana Urologic Clinic,llc | Urology | 2475 N Park Dr Ste 10, Columbus, IN 47203-2215 | 2006-12-01 |
| 1194806687 | Philip T. Schley | Urology | 2808 18th Ave, Columbus, GA 31901-1251 | 2006-10-18 |
| Find all providers in COLUMBUS | ||||
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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.