ACADEMIC UROLOGY OF PA, LLC (NPI# 1417288150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417288150 |
Entity Type | Organization |
Organization Name | ACADEMIC UROLOGY OF PA, LLC |
Practice Address |
125 Medical Campus Dr Medical Arts Building, Suite 305 Lansdale PA 19446-7205 |
Mailing Address |
919 Conestoga Rd Building One, Suite 300 Bryn Mawr PA 19010-1352 |
Practice Telephone | 2153612304 |
Practice Fax Number | 2153612389 |
Mailing Telephone | 6105256580 |
Mailing Fax Number | 6105253664 |
Enumeration Date | 2010-01-20 |
Last Update Date | 2010-01-20 |
Authorized Official Name | DR. DAVID J ELLIS (PRESIDENT) |
Authorized Official Telephone | 6105256580 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | MD031222E | PA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366799140 | Academic Urology of Pa, LLC | Radiology | 211 S Gulph Rd, Suite 200, King of Prussia, PA 19406-3112 | 2012-08-10 |
1740536531 | Academic Urology of Pa, LLC | Pathology | 211 S Gulph Rd, Suite 200, King of Prussia, PA 19406-3112 | 2012-07-30 |
1336439645 | Academic Urology of Pa, LLC | Clinic/Center | 919 Conestoga Rd, Building 1 Suite 300, Bryn Mawr, PA 19010-1352 | 2011-04-08 |
1275841975 | Academic Urology of Pa, LLC | Urology | 325 W Germantown Pike, Suite 100, East Norriton, PA 19403-4227 | 2010-09-16 |
Street Address |
125 MEDICAL CAMPUS DR MEDICAL ARTS BUILDING, SUITE 305 |
City | LANSDALE |
State | PA |
Zip Code | 19446-7205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386646990 | Jonathan Albin | Internal Medicine | 125 Medical Campus Dr, Suite 101, Lansdale, PA 19446-7205 | 2005-08-12 |
1073047718 | Emanuel Troiani, Psy.d. | Clinic/Center | 125 Medical Campus Dr, Suite 206, Lansdale, PA 19446-7205 | 2017-04-19 |
1659656478 | Rocky Mountain Holdings LLC | Ambulance | 125 Medical Campus Dr, Ste 208, Lansdale, PA 19446 | 2011-10-12 |
1982835286 | Nisreen Mousa Madhoun | Surgery | 125 Medical Campus Dr, Suite 310, Lansdale, PA 19446-7205 | 2009-08-04 |
1396985057 | Ann V Petrillo | Specialist | 125 Medical Campus Dr, Suite 101, Lansdale, PA 19446-7205 | 2009-02-20 |
1821263799 | Eric T Rosenwinkel | Internal Medicine | 125 Medical Campus Dr, Suite 101, Lansdale, PA 19446 | 2008-04-23 |
1093987984 | Carolyn Joyce Van Why | Internal Medicine | 125 Medical Campus Dr, Suite 101, Lansdale, PA 19446 | 2008-03-31 |
1316988546 | James V Rispo | Physician Assistant | 125 Medical Campus Dr, Suite 101, Lansdale, PA 19446-7205 | 2006-06-09 |
1033176177 | James A Goodyear | Surgery | 125 Medical Campus Dr, Suite 310, Lansdale, PA 19446 | 2006-05-01 |
1548227697 | Richard J Minehart | Surgery | 125 Medical Campus Dr, Suite 310, Lansdale, PA 19446-7205 | 2006-05-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225654601 | Nmr Blenheim LLC | In Home Supportive Care | 1001 N Broad Street, Suit A, Room 1&2, Lansdale, PA 19446 | 2020-06-22 |
1063076289 | Lung Health Services PC | Internal Medicine | 1240 South Broad Street, Suite 230, Lansdale, PA 19446 | 2019-04-23 |
1306388806 | Erica B Selheimer | Specialist/Technologist | 133 Canterbury Lane, Lansdale, PA 19446 | 2016-11-15 |
1669862785 | Amanda C Knight | Speech-Language Pathologist | 1161 Forty Foot Road, Lansdale, PA 19446 | 2015-01-27 |
1225433105 | Kelly A Schwartz | Nurse Practitioner | 840 S. Valley Forge Rd, Lansdale, PA 19446 | 2014-11-04 |
1750786430 | Megha Shah | Pharmacist | 1801 North Braod St, Suite 14, Lansdale Pharmacy, Lansdale, PA 19446 | 2014-10-24 |
1184036014 | Natalie Elizabeth Darcy | Dietitian, Registered | 1758 Allentown Road #110, Lansdale, PA 19446 | 2014-05-27 |
1942626940 | Kyung Min | Occupational Therapist | 333 S Line St Apt E4, Lansdale, PA 19446 | 2014-03-14 |
1962839340 | Deval Patel | Nurse Practitioner | 21 S. Valley Forge Rd., Unit 100, Lansdale, PA 19446 | 2013-10-01 |
1205100088 | Arnold Bierman, O.d. P.C. | Optometrist | 2302 Broad St N, Lansdale, PA 19446 | 2012-02-27 |
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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 |
---|---|---|---|---|
1811187081 | Ohanes Bedros Oskanian | Urology | 136 Holly Dr, Lansdale, PA 19446-1648 | 2007-07-25 |
1811086523 | Marvin H Marx | Urology | 506 N Broad Street, Lansdale, PA 19446-2416 | 2006-10-12 |
1346233269 | Lee M Blatstein | Urology | 125 Medical Campus Dr, Suite 305, Lansdale, PA 19446 | 2005-08-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184230468 | St Clair Medical Services, Inc. | Urology | 2000 Oxford Dr Ste 410, Bethel Park, PA 15102-1841 | 2020-09-22 |
1326673690 | Glade Run Medical Associates, Inc. | Urology | 500 Medical Arts Bldg Ste 520, Kittanning, PA 16201-7137 | 2020-03-07 |
1235779943 | Stacey Oberhauser | Urology | Center for Urologic Care of Berks County, 1320 Broadcasting Road, Suite 200, Wyomissing, PA 19610 | 2020-01-10 |
1558859645 | East Freedom Surgical Associates, LLC | Urology | 15721 Dunnings Hwy, Duncansville, PA 16635 | 2018-04-25 |
1528560943 | Lancaster Urology PC | Urology | 175 Martin Ave Ste 300, Ephrata, PA 17522-1761 | 2018-03-01 |
1841706561 | Urology of Central Pennsylvania, Inc | Urology | 815 Sir Thomas Ct Ste 100, Harrisburg, PA 17109-4839 | 2017-12-18 |
1003326869 | St Luke's Physician Group Inc | Urology | 5325 Northgate Dr Ste 203, Bethlehem, PA 18017-9413 | 2017-10-06 |
1952829350 | Centers for Advanced Urology, LLC | Urology | 140 W Germantown Pike Ste 250, Plymouth Meeting, PA 19462-1421 | 2017-09-06 |
1346767944 | Nazareth Physician Services | Urology | 2701 Holme Ave Ste 101, Phila, PA 19152-2029 | 2017-08-24 |
1710403191 | Mercy Management of Sepa | Urology | 501 S 54th St Ste 227, Phila, PA 19143-1900 | 2017-08-17 |
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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.