THE UROLOGY CLINIC, LLC


Address: 14231 Seaway Rd Ste 6000, Gulfport, MS 39503-4628
Phone: 2282541103

THE UROLOGY CLINIC, LLC (NPI# 1023678000) 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) 1023678000
Entity Type Organization
Organization Name THE UROLOGY CLINIC, LLC
Practice Address 14231 Seaway Rd Ste 6000
Gulfport
MS 39503-4628
Practice Telephone 2282541103
Practice Fax Number 2282062324
Mailing Telephone 2282541103
Mailing Fax Number 2282062324
Enumeration Date 2019-06-20
Last Update Date 2019-06-20
Authorized Official Name DR. PAIGE C WHITE (MD/SOLE MEMBER)
Authorized Official Telephone 2282541103
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/Organization Names

Other Name Type Code
The Urology Clinic Doing Business As Name - Organization

Office Location

Street Address 14231 SEAWAY RD STE 6000
City GULFPORT
State MS
Zip Code 39503-4628

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1750879003 Heather Lynn Theisen Nurse Practitioner 15190 Community Rd Ste 330, Gulfport, MS 39503 2018-04-23
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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
1407969207 Memorial Hospital At Gulfport Urology 1340 Broad Ave Ste 210, Gulfport, MS 39501-2465 2006-08-16
1093031494 Memorial Hospital At Gulfport Urology 15190 Community Rd, Suite 240, Gulfport, MS 39503-3485 2010-04-12
1871737064 Jacob N Jorns Urology 1340 Broad Ave Ste 210, Gulfport, MS 39501-2465 2009-05-01
1669619912 Memorial Hospital of Gulfport Urology 1340 Broad Ave, Ste 210, Gulfport, MS 39501-2404 2009-01-08
1962690255 Memorial Hospital At Gulfport Urology 1340 Broad Ave, Suite 210, Gulfport, MS 39501-2404 2007-10-11
1962557157 Southern Urology Associates LLC Urology 12330 Ashley Dr, Gulfport, MS 39503-2737 2007-01-25
1194825216 Paige C White Urology 1340 Broad Ave, Suite 210, Gulfport, MS 39501-2404 2006-09-25
1548285968 David Champ Weeks Urology 1340 Broad Ave, Suite 210, Gulfport, MS 39501-2404 2006-07-13
1760417612 Arthur M Matthews Jr. Urology 15190 Community Rd, Suite 370, Gulfport, MS 39503-3485 2006-07-11
1619919917 Southern Urology Associates LLC Urology 15190 Community Rd, Suite 260, Gulfport, MS 39503-3485 2006-06-12
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City GULFPORT
Zip Code 39503

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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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