URLOGY AMBULATORY SURGERY CENTER LLC (NPI# 1366422370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366422370 |
| Entity Type | Organization |
| Organization Name | URLOGY AMBULATORY SURGERY CENTER LLC |
| Other Organization Name | WOLF RIVER SURGERY CENTER |
| Practice Address |
1325 Wolf Park Drive Suite 101 Germantown TN 38138 |
| Practice Telephone | 9012523403 |
| Practice Fax Number | 9015161755 |
| Mailing Telephone | 9012523403 |
| Mailing Fax Number | 9015161755 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2012-02-01 |
| Authorized Official Name | MRS. SHERRYE B CRONE (ADMINISTRATOR) |
| Authorized Official Telephone | 9015161716 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
134 | TN | Ambulatory Health Care Facilities |
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0000000134 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3288661 | 05 | |
| TN | BCBS | 4046074 | 01 |
| TN | RAILROAD MEDICARE | 490005620 | 01 |
| Other Name | Type Code |
|---|---|
| Wolf River Surgery Center | Doing Business As Name - Organization |
| Street Address |
1325 WOLF PARK DRIVE SUITE 101 |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134613979 | Summit Ambulatory Surgical Center LLC | Clinic/Center | 19851 Observation Dr Ste 445, Germantown, MD 20876-4139 | 2018-06-15 |
| 1730570003 | Smart Pain Surgery Center At Germantown, LLC | Clinic/Center | 19851 Observation Dr., Suite 350, Germantown, MD 20876 | 2015-02-09 |
| 1518037811 | Germantown Ambulatory Surgical LLC | Clinic/Center | 7499 Poplar Pike, Germantown, TN 38138-5934 | 2006-11-08 |
| 1720001928 | Campbell Clinic Surgery Center, LLC | Clinic/Center | 1410 Brierbrook Rd, Germantown, TN 38138-2257 | 2006-07-26 |
| 1053381236 | Methodist Surgery Center Germantown Lp | Clinic/Center | 1363 South Germantown Road, Germantown, TN 38138 | 2006-01-23 |
| 1548896095 | Capital Orthopaedic Surgery Center, LLC | Clinic/Center | 20680 Seneca Meadows Pkwy Ste 200, Germantown, MD 20876-7029 | 2020-03-17 |
| 1073073458 | Germantown Ambulatory Surgical Center LLC | Clinic/Center | 20629 Boland Farm Rd, Germantown, MD 20876-4017 | 2019-03-22 |
| 1053770149 | Aurora Surgery Centers, LLC | Clinic/Center | W180n11070 River Ln, Germantown, WI 53022-3109 | 2016-02-17 |
| 1346610672 | Advanced Pain Management Services, LLC | Clinic/Center | 20680 Seneca Meadows Pkwy Ste 200, Germantown, MD 20876-7022 | 2015-09-29 |
| 1518208883 | Asc Development Company, LLC | Clinic/Center | 19735 Germantown Rd, Suite 360, Germantown, MD 20874-1214 | 2013-03-11 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
Please comment or provide details below to improve the information on URLOGY AMBULATORY SURGERY CENTER LLC.
| 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.