ACADEMIC UROLOGY OF PA, LLC


Address: 125 Medical Campus Dr, Medical Arts Building, Suite 305, Lansdale, PA 19446-7205
Phone: 2153612304

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology MD031222E PA Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

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

Office Location

Street Address 125 MEDICAL CAMPUS DR
MEDICAL ARTS BUILDING, SUITE 305
City LANSDALE
State PA
Zip Code 19446-7205

Providers in the same location

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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Providers in the same zip code

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 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
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

Providers in the same taxonomy and state

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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Competitor

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City LANSDALE
Zip Code 19446

Improve Information

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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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