ADVANCED UROLOGY INSTITUTE, LLC (NPI# 1023447935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023447935 |
| Entity Type | Organization |
| Organization Name | ADVANCED UROLOGY INSTITUTE, LLC |
| Practice Address |
12109 County Road 103 Oxford FL 34484-2951 |
| Practice Telephone | 3523916494 |
| Practice Fax Number | 3523916498 |
| Mailing Telephone | 3523916494 |
| Mailing Fax Number | 3523916498 |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2014-12-19 |
| Authorized Official Name | MICHAEL S GRABLE (PRESIDENT) |
| Authorized Official Telephone | 3862398500 |
| Authorized Official Credential | MD |
| 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 |
|---|---|---|---|---|
| 1891246765 | Advanced Urology Institute, LLC | Non-Pharmacy Dispensing Site | 609 W Highland Blvd, Inverness, FL 34452-4638 | 2016-10-17 |
| 1336690205 | Advanced Urology Institute, LLC | Non-Pharmacy Dispensing Site | 3475 S Suncoast Blvd, Homosassa, FL 34448-2322 | 2016-10-17 |
| 1972976512 | Advanced Urology Institute, LLC | Non-Pharmacy Dispensing Site | 2301 Se 3rd Ave, Bldg 100, Ste A, Ocala, FL 34471-5105 | 2015-11-04 |
| 1962875500 | Advanced Urology Institute, LLC | Non-Pharmacy Dispensing Site | 12109 County Road 103, Oxford, FL 34484-2951 | 2015-11-04 |
| 1023480217 | Advanced Urology Institute, LLC | Non-Pharmacy Dispensing Site | 2000 Centre Pointe Blvd, Tallahassee, FL 32308-4894 | 2015-10-27 |
| 1790084648 | Advanced Urology Institute, LLC | Durable Medical Equipment & Medical Supplies | 3475 S Suncoast Blvd, Homosassa, FL 34448-5229 | 2011-03-17 |
| 1245539188 | Advanced Urology Institute, LLC | Durable Medical Equipment & Medical Supplies | 9401 Sw Highway 200, Bldg 3000 Ste 3001, Ocala, FL 34481-9612 | 2011-03-17 |
| 1306145263 | Advanced Urology Institute, LLC | Durable Medical Equipment & Medical Supplies | 12109 Cr 103, Oxford, FL 34484-2967 | 2011-03-17 |
| 1972741890 | Advanced Urology Institute, LLC | Durable Medical Equipment & Medical Supplies | 2301 Se 3rd Ave, Bldg 100 Ste A, Ocala, FL 34471-5114 | 2009-01-30 |
| 1649418609 | Advanced Urology Institute, LLC | Durable Medical Equipment & Medical Supplies | 1901 Se 18th Ave, Bldg 300, Ocala, FL 34471-8214 | 2009-01-29 |
| Street Address |
12109 COUNTY ROAD 103 |
| City | OXFORD |
| State | FL |
| Zip Code | 34484-2951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952303935 | Burkhard Weppelmann | Radiology | 12109 County Road 103, Oxford, FL 34484-2951 | 2005-08-10 |
| 1962875500 | Advanced Urology Institute, LLC | Non-Pharmacy Dispensing Site | 12109 County Road 103, Oxford, FL 34484-2951 | 2015-11-04 |
| 1326128588 | Sherrie L. Flores | Nurse Practitioner | 12109 County Road 103, Oxford, FL 34484-2951 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033760723 | Advanced Surgery Center of Oxford | Clinic/Center | 12117 Cr 103, Oxford, FL 34484 | 2019-09-24 |
| 1124571500 | Comfortable Care Dental Health Professionals, Pa | Dentist | 4232 E County Road 466, Suite 101, Oxford, FL 34484 | 2016-08-02 |
| 1336513639 | Balanced Wellbeing LLC | Psychiatry & Neurology | 10840 North Us Highway, Suite 301, Oxford, FL 34484 | 2015-11-24 |
| 1558616052 | Junzen Ballesil Domingo | Physical Therapist | 14401 S. Military Trail, Apt 110, Delray Beach, FL 34484 | 2012-07-20 |
| 1285960229 | Tracy Renna | Occupational Therapist | 4904 Ne 123rd Ln, Oxford, FL 34484 | 2009-10-27 |
| 1588766125 | Richard M Roach | Urology | 12109 County Road 103 Ste 2, Oxford, FL 34484 | 2006-09-03 |
| 1942238506 | Hartford Health Services, LLC | Home Health | 11031 N Us Highway 301 Ste 103, Oxford, FL 34484 | 2006-06-30 |
| 1962046151 | Solace Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 12117 Cr 103, Oxford, FL 34484 | 2019-10-31 |
| 1689142259 | Kendra Nicole Wilson | Physician Assistant | 10840 N Us Highway 301, Oxford, FL 34484 | 2018-11-12 |
| 1841451507 | Rebecca M Herndon | Occupational Therapist | 4725 Bellwether Ln, Oxford, FL 34484 | 2008-06-24 |
| Find all providers in zip 34484 | ||||
| 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 |
|---|---|---|---|---|
| 1073682035 | Doyle Land Renfroe | Urology | 1201 Medical Park Dr, Oxford, MS 38655-5327 | 2006-11-06 |
| 1588766125 | Richard M Roach | Urology | 12109 County Road 103 Ste 2, Oxford, FL 34484 | 2006-09-03 |
| 1336380708 | Granville Health Inc | Urology | 102 Professional Park, Suite C, Oxford, NC 27565-2501 | 2009-03-16 |
| 1598921892 | Brent Montague Hardin | Urology | 1201 Medical Park Dr, Oxford, MS 38655-5327 | 2008-08-06 |
| 1508032517 | Urology of Oxford | Urology | 2166 S Lamar Blvd, Oxford, MS 38655-5224 | 2008-04-30 |
| 1053599696 | Central Florida Urology Specialists | Urology | 12109 Cr 103, Oxford, FL 34484-2967 | 2008-02-06 |
| 1790973915 | Joseph Charles Zola Jr. | Urology | 102 Professional Park, Suite C, Oxford, NC 27565-2501 | 2007-10-12 |
| 1770771743 | Joshua Grant Griffin | Urology | 2168 S Lamar Blvd, Oxford, MS 38655-5224 | 2007-10-04 |
| 1013100700 | Tri State Urologic Services Psc Inc | Urology | 110 N Poplar St, Oxford, OH 45056-1204 | 2007-08-25 |
| 1376747162 | Saumilkumar S. Karavadia | Urology | 12109 Cr 103, Oxford, FL 34484 | 2007-06-13 |
| Find all providers in OXFORD | ||||
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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.