ATLANTIC UROLOGICAL ASSOCIATES P A (NPI# 1285855890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285855890 |
| Entity Type | Organization |
| Organization Name | ATLANTIC UROLOGICAL ASSOCIATES P A |
| Practice Address |
1061 Medical Center Dr Suite 300 Orange City FL 32763-8200 |
| Mailing Address |
545 Health Blvd Daytona Beach FL 32114-1493 |
| Practice Telephone | 3867742121 |
| Mailing Telephone | 3862398500 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2008-02-14 |
| Authorized Official Name | JERRI CREGGAR (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 3862398500 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1114148574 | Atlantic Urological Associates P A | Urology | 1620 Mason Ave, Suite E, Daytona Beach, FL 32117-7802 | 2007-05-02 |
| 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 |
| 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 |
| Street Address |
1061 MEDICAL CENTER DR SUITE 300 |
| City | ORANGE CITY |
| State | FL |
| Zip Code | 32763-8200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346298759 | Peter G Selassie | Specialist | 1061 Medical Center Dr, Suite 110, Orange City, FL 32763-8200 | 2006-05-05 |
| 1508983669 | Florida Dept. of Health | Public Health or Welfare | 1061 Medical Center Dr, Suite 100, Orange City, FL 32763-8200 | 2007-03-23 |
| 1851437164 | Clarence Scott | Internal Medicine | 1061 Medical Center Dr, Suite 101, Orange City, FL 32763-8200 | 2007-01-30 |
| 1164573655 | Radiology Consultants of Central Florida Pa | Radiology | 1061 Medical Center Dr, Ste 201, Orange City, FL 32763-8200 | 2007-01-13 |
| 1801843263 | North Orlando Surgical Group, Inc | Surgery | 1061 Medical Center Dr, Suite 305, Orange City, FL 32763-8200 | 2006-05-30 |
| 1295785673 | Charlotte L Coleman | Physician Assistant | 1061 Medical Center Dr, Suite 110, Orange City, FL 32763-8200 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043852783 | Khushboo Patel | Nurse Practitioner | 915 Harley Strickland Blvd, Orange City, FL 32763 | 2019-10-15 |
| 1598325466 | Steves Hearingllc | Hearing Aid Equipment | 742 N Volucia Ave., Orange City, FL 32763 | 2019-06-13 |
| 1740762194 | Jamie Elizabeth Price | Speech-Language Pathologist | 2705 Rebecca Lane Suite B, Orange City, FL 32763 | 2018-09-02 |
| 1841771821 | Ashley Katherine Taylor | Early Intervention Provider Agency | 358 W Wisconsin Ave, Orange City, FL 32763 | 2018-08-27 |
| 1033636048 | Kimberly Michelle Belk | Social Worker | 300 Treemonte Dr, Orange City, FL 32763 | 2017-08-30 |
| 1588198733 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1320 Saxon Blvd, Orange City, FL 32763 | 2017-04-14 |
| 1629515333 | Anewerface, Inc | Clinic/Center | Address: 123 N Industrial Dr Ste C, Orange City, FL 32763 | 2017-01-20 |
| 1184073322 | Carolyn Ann Damato | Specialist/Technologist, Other | 1350 13th Street, Orange City, FL 32763 | 2016-06-08 |
| 1225451784 | Shamika Spencer | Nurse Practitioner | 932 Saxon Blvd Ste A, Orange City, FL 32763 | 2014-02-03 |
| 1972882314 | Orange City Anesthesia Services LLC | Anesthesiology | 975 Town Center Dr Ste 100, Orange City, FL 32763 | 2011-08-16 |
| Find all providers in zip 32763 | ||||
| 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 |
|---|---|---|---|---|
| 1770193450 | Urotelemedicine LLC | Urology | 8669 Nw 36th St Ste 325, Doral, FL 33166-6698 | 2020-08-06 |
| 1700411618 | Ackerman Cancer Center, Pa | Urology | 159 North 3rd St, Macclenny, FL 32063-2103 | 2020-03-11 |
| 1043844483 | Jesse Aaron Ory | Urology | 5555 Ponce De Leon Blvd Fl 4, Coral Gables, FL 33146-2513 | 2020-02-25 |
| 1215591565 | Advent Health | Urology | 420 Celebration Ave, Celebration, FL 34747-4683 | 2019-04-23 |
| 1710442264 | Urologic Specialists of Central Florida Pllc | Urology | 575 S Wickham Rd Ste A, West Melbourne, FL 32904-1170 | 2019-02-08 |
| 1578028197 | Prody Urology, Pllc | Urology | 575 S Wickham Rd Ste B, West Melbourne, FL 32904-1170 | 2019-02-07 |
| 1366916843 | Dr. Carolyn Langford Urologic Solutions, LLC | Urology | 9400 Gladiolus Dr Ste 30, Fort Myers, FL 33908-9615 | 2019-01-17 |
| 1376016568 | Advanced Innovative Urology Pa | Urology | 4737 N Ocean Dr Ste 103, Lauderdale By The Sea, FL 33308-2920 | 2019-01-10 |
| 1306314281 | Urology Consultants of Boca Raton Pa | Urology | 825 Meadows Rd Ste 111, Boca Raton, FL 33486-2347 | 2018-11-08 |
| 1013490309 | Seetharam Bhat Kulthe Ramesh | Urology | 401 Celebration Pl Ste 200, Celebration, FL 34747-4971 | 2018-09-12 |
| Find all providers with the same taxonomy | ||||
| City | ORANGE CITY |
| Zip Code | 32763 |
Please comment or provide details below to improve the information on ATLANTIC UROLOGICAL ASSOCIATES P A.
| 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.