SPRINGFIELD UROLOGY LLC (NPI# 1992922025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992922025 |
| Entity Type | Organization |
| Organization Name | SPRINGFIELD UROLOGY LLC |
| Practice Address |
1164 E Home Rd Springfield OH 45503-2726 |
| Mailing Address |
1164 E Home Rd Suite J Springfield OH 45503-2726 |
| Practice Telephone | 9373429260 |
| Practice Fax Number | 9373429262 |
| Mailing Telephone | 9373429260 |
| Mailing Fax Number | 9373429262 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2014-03-20 |
| Authorized Official Name | MRS. TINA KAY STUART (OFFICE MANAGER) |
| Authorized Official Telephone | 9373429260 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Street Address |
1164 E HOME RD |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45503-2726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265405914 | Eric Espinosa | Urology | 1164 E Home Rd, Suite J, Springfield, OH 45503-2726 | 2006-02-10 |
| 1003981168 | Ananth Annamraju | Specialist | 1164 E Home Rd, Springfield, OH 45503-2726 | 2006-11-22 |
| 1437224508 | Vlada W Mardovin | Specialist | 1164 E Home Rd, Springfield, OH 45503-2726 | 2006-11-22 |
| 1891750527 | James B Colombo | Urology | 1164 E Home Rd, Suite J, Springfield, OH 45503-2726 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093182727 | Future Plan LLC Dba Home Instead Senior Care | In Home Supportive Care | 333 Mt Vernon Ave, Springfield, OH 45503 | 2015-08-28 |
| 1740665280 | Paulette Thomas | Occupational Therapy Assistant | 722 Patrick Road, Springfield, OH 45503 | 2015-07-27 |
| 1912391400 | Nanditha Alamelu Ranganathan | Student in an Organized Health Care Education/Training Program | 2655 Ballydoyle Dr., Springfield, OH 45503 | 2015-03-24 |
| 1598102568 | Careplus Home Healthcare | Registered Nurse | 802 N. Limestone St, Spfld, OH 45503 | 2013-05-30 |
| 1407120033 | Janice Louise Foster | Home Health Aide | 3131 Erter Drive, Springfield, OH 45503 | 2012-02-29 |
| 1306123112 | David P. Comer | Physician Assistant | 2600 N Limestone St Fl 2, Springfield, OH 45503 | 2011-11-08 |
| 1689953564 | Family Dental Care | Dentist | 1240 E. Main St, Springfield, OH 45503 | 2011-08-10 |
| 1942539317 | Latonia Marie Montgomery | Licensed Vocational Nurse | 2350 North Limestone #10, Springfield, OH 45503 | 2009-12-15 |
| 1518139385 | Springfield Eye Group LLC | Optometrist | 1674 North Limestone St, Springfield, OH 45503 | 2008-04-01 |
| 1457543951 | Kara Nicole Miller | Physician Assistant | 2600 N. Limestone, 2nd Floor, Springfield, OH 45503 | 2007-08-17 |
| Find all providers in zip 45503 | ||||
| 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 |
|---|---|---|---|---|
| 1649796376 | Urology Associates PC | Urology | 502 Northcrest Dr, Springfield, TN 37172-4066 | 2017-08-15 |
| 1912436015 | Robert Ara Petrossian | Urology | 301 N 8th St # 4b143c, Springfield, IL 62701-1041 | 2017-06-12 |
| 1932463940 | Brandi Dawn Miller | Urology | 1965 S Fremont Ave Ste 370, Springfield, MO 65804-2284 | 2012-06-25 |
| 1699049395 | Harry L. Ellis | Urology | 5034 S Glenhaven Ave, Springfield, MO 65804-7804 | 2012-02-28 |
| 1427121714 | David R Kelley | Urology | 100 Wason Anenue, Suite 120, Springfield, MA 01107-1119 | 2006-11-16 |
| 1942373311 | Charles D Parsons | Urology | 202 S Belmont Ave, Springfield, OH 45505-1224 | 2006-11-15 |
| 1447321781 | Pbm Urology Ltd | Urology | 1215 S 4th St, Springfield, IL 62703-2259 | 2006-11-10 |
| 1013019439 | Alexander M Berry | Urology | 100 Wason Ave, Suite 240, Holyoke Medicacal Center - Urology, Springfield, MA 01107 | 2006-09-05 |
| 1972615748 | Thomas E. Baron | Urology | 800 N. 1st Street, Springfield, IL 62702 | 2006-08-31 |
| 1265405914 | Eric Espinosa | Urology | 1164 E Home Rd, Suite J, Springfield, OH 45503-2726 | 2006-02-10 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45503 |
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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.