ATLANTIC UROLOGICAL ASSOCIATES P A


Address: 1620 Mason Ave, Suite E, Daytona Beach, FL 32117-7802
Phone: 3865065115

ATLANTIC UROLOGICAL ASSOCIATES P A (NPI# 1114148574) 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) 1114148574
Entity Type Organization
Organization Name ATLANTIC UROLOGICAL ASSOCIATES P A
Practice Address 1620 Mason Ave
Suite E
Daytona Beach
FL 32117-7802
Mailing Address 545 Health Blvd
Daytona Beach
FL 32114-1493
Practice Telephone 3865065115
Mailing Telephone 3862398500
Enumeration Date 2007-05-02
Last Update Date 2008-02-14
Authorized Official Name JERRI CREGGAR (CHIEF OPERATING OFFICER)
Authorized Official Telephone 3862398500
Is Organization Subpart N

Taxonomy

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

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1407812092 Atlantic Urological Associates P A Urology 545 Health Blvd, Daytona Beach, FL 32114-1493 2006-04-24
1174792642 Atlantic Urological Associates P A Urology 21 Hospital Dr, Suite 140, Palm Coast, FL 32164-2380 2008-02-28
1659586840 Atlantic Urological Associates P A Urology 545 Health Blvd, Daytona Beach, FL 32114-1493 2007-05-11
1932321429 Atlantic Urological Associates P A Urology 633 Dunlawton Ave, Suite 2, Port Orange, FL 32127 2007-05-03
1548481054 Atlantic Urological Associates P A Urology 545 Health Blvd, Daytona Beach, FL 32114-1493 2007-05-01
1881815561 Atlantic Urological Associates P A Urology 506 Palmetto St, New Smyrna Beach, FL 32168-7325 2007-05-01
1285855890 Atlantic Urological Associates P A Urology 1061 Medical Center Dr, Suite 300, Orange City, FL 32763-8200 2007-05-01
1053532572 Atlantic Urological Associates P A Urology 2460 Old Moultrie Rd, Suite 5, St Augustine, FL 32086-4197 2007-05-01
1134340615 Atlantic Urological Associates P A Urology 19 Old Kings Rd N, Suite C101, Palm Coast, FL 32137-8260 2007-05-01

Office Location

Street Address 1620 MASON AVE
SUITE E
City DAYTONA BEACH
State FL
Zip Code 32117-7802

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386646461 Michael Pirkowski Radiology 1620 Mason Ave, Suite E, Daytona Beach, FL 32117-7802 2005-08-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992350409 Erin Selfridge Pharmacist 1500 Beville Rd #300, Daytona Beach, FL 32117 2019-08-02
1881185494 Wellspring Health, LLC Chiropractor 701 Ridgewood Ave, Holly Hills, FL 32117 2018-05-21
1780172791 L & L Db, LLC Clinic/Center 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 2018-04-25
1154837789 Brittany Nikolow Nurse Practitioner 1717 N. Clyde Morris, Daytona Beach, FL 32117 2017-12-19
1205356946 Alejandro Andre Pabon Rodriguez Nurse Anesthetist, Certified Registered Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 2017-06-23
1316492135 Ann Van Herck Physical Therapist 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 2016-08-22
1952784779 Kathryn Brenna Copley Nurse Practitioner 1890 Lpga Blvd., Daytona Beach, FL 32117 2015-06-30
1053719559 Alicia Graham Case Manager/Care Coordinator 1570 Megan Bay Circle, Holly Hill, FL 32117 2014-12-15
1578974440 Halifax Senior Care Inc Clinic/Center 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 2014-05-14
1013345883 Kist Alf, Inc Assisted Living Facility 1516 Carmen Avenue, Daytona Beach, FL 32117 2013-10-14
Find all providers in zip 32117

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
1932148509 John Elbert Greene Urology 311 N Clyde Morris Blvd Ste 480, Daytona Beach, FL 32114-2766 2006-06-06
1407812092 Atlantic Urological Associates P A Urology 545 Health Blvd, Daytona Beach, FL 32114-1493 2006-04-24
1063484848 Sean Tirney Urology 1925 S Atlantic Ave, Suite #609, Daytona Beach, FL 32118-5026 2006-02-06
1598015398 Dale R Traficante Md Pa Urology 1890 Lpga Blvd, Suite 220, Daytona Beach, FL 32117-7138 2012-09-19
1598054751 Samuel M. Lawindy Urology 545 Health Blvd, Daytona Beach, FL 32114-1493 2011-03-28
1790949873 Evan Fynes Urology 545 Health Blvd, Daytona Beach, FL 32114-1493 2008-07-17
1043416506 Shawn Wayne Thomas Urology 311 N Clyde Morris Blvd Ste 360, Daytona Beach, FL 32114-2757 2007-06-22
1659586840 Atlantic Urological Associates P A Urology 545 Health Blvd, Daytona Beach, FL 32114-1493 2007-05-11
1548481054 Atlantic Urological Associates P A Urology 545 Health Blvd, Daytona Beach, FL 32114-1493 2007-05-01
1306999123 Charles E Womack Urology 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 2007-01-18
Find all providers in DAYTONA BEACH

Competitor

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City DAYTONA BEACH
Zip Code 32117

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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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