CENTER FOR UROLOGICAL TREATMENT, PLC (NPI# 1821230046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821230046 |
| Entity Type | Organization |
| Organization Name | CENTER FOR UROLOGICAL TREATMENT, PLC |
| Practice Address |
1325 Andrea Street Suite 103 Bowling Green KY 42104 |
| Mailing Address |
345 23rd Ave North Suite 212 Nashville TN 37203 |
| Practice Telephone | 6153272055 |
| Practice Fax Number | 6153294005 |
| Mailing Telephone | 2703939505 |
| Mailing Fax Number | 6153294005 |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2009-04-02 |
| Authorized Official Name | MITCHELL L. WIATRAK (OWNER) |
| Authorized Official Telephone | 2703939505 |
| 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 |
| Street Address |
1325 ANDREA STREET SUITE 103 |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
| 1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
| 1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
| 1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
| 1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
| 1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
| 1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
| 1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
| 1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
| 1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
| Find all providers in zip 42104 | ||||
| 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 |
|---|---|---|---|---|
| 1346341062 | Clark Lewis Carthrae | Urology | 1227 Ashley Circle, Bowling Green, KY 42104-3383 | 2006-09-26 |
| 1902800998 | David Anthony Bergamini | Urology | 201 Park St, Bowling Green, KY 42101-1759 | 2005-06-08 |
| 1386071652 | Promedica Genito-urinary Surgeons LLC | Urology | 970 W Wooster St, Suite 129, Bowling Green, OH 43402-2643 | 2013-10-02 |
| 1093999385 | Samer Rida Kalakish | Urology | 201 Park St, Bowling Green, KY 42101-1759 | 2007-12-21 |
| 1598853830 | Eric Todd | Urology | 960 W Wooster St, Suite 101, Bowling Green, OH 43402-2644 | 2006-10-11 |
| 1316052673 | Manuel Low De La Serna | Urology | 960 W Wooster St, Suite 101, Bowling Green, OH 43402-2644 | 2006-08-20 |
| 1114962867 | Southern Kentucky Urology LLC | Urology | 1325 Andrea St, Suite 103, Bowling Green, KY 42104-5852 | 2006-06-17 |
| 1871542654 | J Roger Goodwin | Urology | 1325 Andrea St, Suite 201, Bowling Green, KY 42104-5852 | 2006-05-09 |
| 1588650758 | Matthew E Rutter | Urology | 201 Park St, Bowling Green, KY 42101-1759 | 2005-09-23 |
| 1073517066 | Mark E Bigler | Urology | 201 Park St, Bowling Green, KY 42101-1759 | 2005-06-08 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42104 |
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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.