UROLOGY TYLER, PA


Address: 700 Olympic Plaza Cir Ste 700, Tyler, TX 75701-1954
Phone: 9032623900

UROLOGY TYLER, PA (NPI# 1861572968) 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) 1861572968
Entity Type Organization
Organization Name UROLOGY TYLER, PA
Practice Address 700 Olympic Plaza Cir Ste 700
Tyler
TX 75701-1954
Mailing Address Po Box 8026
Tyler
TX 75711-8026
Practice Telephone 9032623900
Practice Fax Number 9032623993
Mailing Telephone 9032623900
Mailing Fax Number 9032623993
Enumeration Date 2006-10-16
Last Update Date 2013-08-14
Authorized Official Name DR. STANTON P. CHAMPION (PRESIDENT)
Authorized Official Telephone 9032623900
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 112852203 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1780718809 Urology Tyler, Pa Clinical Medical Laboratory 7909 Fredericksburg Rd, #150, San Antonio, TX 78229-3425 2007-03-14

Office Location

Street Address 700 OLYMPIC PLAZA CIR STE 700
City TYLER
State TX
Zip Code 75701-1954

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962057059 Gonzalo Fernandez Physical Therapy Assistant 753 S Beckham Ave, Tyler, TX 75701 2019-08-06
1215422654 Adrianna Bussell Nurse Practitioner 1000 South Beckham, Tyler, TX 75701 2018-06-28
1285128017 Idowu Akintokunbo Akinyele Dentist Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 2018-06-15
1992208912 Heather Renee Vancleave Occupational Therapy Assistant 1228 Louann Lane, Tyler, TX 75701 2018-03-15
1497260533 Smile Workshop Mckinney, Pllc Dentist 301 N. Custer Rd, Mckinney, TX 75701 2017-12-12
1396266441 Eye Surgery Center of East Texas, Pllc Clinic/Center 2448 E 5th St, Tyler, TX 75701 2017-06-29
1962936369 Collins Complete Family Care Nurse Practitioner 1910 E Se Loop 323 # 176, Tyler, TX 75701 2017-04-12
1386187052 Fellowship Health Team LLC Home Health 1124 S Fleishel Ave, Tyler, TX 75701 2016-11-29
1205382454 Brenton Robinson Nurse Practitioner 1100 East Lake St, 160, Tyler, TX 75701 2016-08-28
1851846208 Care First Pharmacy, LLC Pharmacy 1910 Roseland Blvd A, Tyler, TX 75701 2016-08-15
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720275043 Steven Bruce Roberts Urology 1017 E Idel St, Tyler, TX 75701-2025 2007-10-01
1821434630 Ryan Webster Tubre Urology 11937 Us Highway 271, Tyler, TX 75708-3154 2013-05-20
1699074351 William Riddick Armstrong IIi Urology 700 Olympic Plaza Cir, Suite 700, Tyler, TX 75701-1951 2011-03-21
1639491301 Robert Stephen Hillis Urology 1701 Devonshire Dr, Tyler, TX 75703-2408 2010-02-23
1952440992 Burkitt W Jensen Urology 910 E Houston St, Ste 600, Tyler, TX 75702-8369 2007-02-06
1093731788 William Bruce Harrell Urology 910 E Houston St, Ste 600, Tyler, TX 75702-8369 2006-07-14
1043250533 Charles T Dickson Urology 700 Olympic Plaza Cir, Ste 700, Tyler, TX 75701-1951 2006-06-07
1952341448 James D Mcandrew Urology 700 Olympic Plaza Cir, Ste 700, Tyler, TX 75701-1951 2006-06-07
1629018122 Mark Greenberg Urology 700 Olympic Plaza Cir, Ste 700, Tyler, TX 75701-1951 2006-06-07
1144269697 Robert Clay Williams Urology 700 Olympic Plaza Cir, Ste 700, Tyler, TX 75701-1951 2006-06-06
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City TYLER
Zip Code 75701

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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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