UROLOGY PROFESSIONAL ASSOC (NPI# 1508886805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508886805 |
| Entity Type | Organization |
| Organization Name | UROLOGY PROFESSIONAL ASSOC |
| Practice Address |
499 Gloster Creek Village Suite A1 Tupelo MS 38801-4600 |
| Mailing Address |
499 Gloster Creek Village Suite A1 Tupelo MS 38801-4934 |
| Practice Telephone | 6623777118 |
| Practice Fax Number | 6623777115 |
| Mailing Telephone | 6623777100 |
| Mailing Fax Number | 6623777115 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2016-09-06 |
| Authorized Official Name | MARILYN WILKERSON (PRACTICE MANAGER) |
| Authorized Official Telephone | 6623777100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09011122 | 05 |
| Street Address |
499 GLOSTER CREEK VILLAGE SUITE A1 |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770543092 | Maurice Allan Clark | Optometrist | 499 Gloster Creek Village, Suite F3, Tupelo, MS 38801-4631 | 2006-03-23 |
| 1275081754 | North Mississippi Electrophysiology, LLC | Internal Medicine | 499 Gloster Creek Village, Suite A-2, Tupelo, MS 38801-4749 | 2016-09-14 |
| 1396103933 | Derek Warren | Dentist | 499 Gloster Creek Village, Suite F-5a, Tupelo, MS 38801 | 2016-02-09 |
| 1912003005 | Joseph Curtis Adams | Internal Medicine | 499 Gloster Creek Village, A-2, Tupelo, MS 38801 | 2006-09-15 |
| 1952310492 | 2020 Vision Center, Pa | Optometrist | 499 Gloster Creek Village, Suite F3, Tupelo, MS 38801-4631 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| 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 |
|---|---|---|---|---|
| 1376591651 | The Continence | Urology | 830 S Gloster 4th Floor E Tower, Suite 2, Tupelo, MS 38802 | 2006-05-05 |
| 1407856958 | Clarance Stephen Farmer II | Urology | 499 Gloster Creek Vlg, Suite A1, Tupelo, MS 38801-4600 | 2005-07-27 |
| 1700057106 | Kristopher Wayne Whitehead | Urology | 499 Gloster Creek Vlg, Suite A1, Tupelo, MS 38801-4600 | 2008-03-13 |
| 1992797161 | William Hughes Milam | Urology | 499 Gloster Creek Vlg, Suite A1, Tupelo, MS 38801-4600 | 2005-08-16 |
| 1013917103 | Jon T Posey | Urology | 499 Gloster Creek Vlg, Suite A1, Tupelo, MS 38801-4600 | 2005-07-29 |
| 1881694347 | Paul Farabaugh | Urology | 499 Gloster Creek Vlg, Suite A1, Tupelo, MS 38801-4600 | 2005-07-27 |
| 1205836764 | Jonathan Kalish | Urology | 499 Gloster Creek Vlg, Suite A1, Tupelo, MS 38801-4600 | 2005-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678000 | The Urology Clinic, LLC | Urology | 14231 Seaway Rd Ste 6000, Gulfport, MS 39503-4628 | 2019-06-20 |
| 1881006807 | Roy Donald Duncan | Urology | 300 Forrest Hill Cir, Aberdeen, MS 39730-2147 | 2014-05-26 |
| 1396184149 | Robert Joseph Hargis | Urology | 116 Afton Way, Clinton, MS 39056 | 2013-06-14 |
| 1619290400 | Woodie Lynn Mason | Urology | 115 Wildwood Dr, Madison, MS 39110-7045 | 2010-03-08 |
| 1639305592 | William Meredith Brodford | Urology | 3916 Pinewood, Dr., Jackson, MS 39211-6444 | 2009-06-05 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1932233392 | Jens Francis Graversen | Urology | 1002 Jefferson St., Suite 450, Laurel, MS 39440-4306 | 2007-03-15 |
| 1073682035 | Doyle Land Renfroe | Urology | 1201 Medical Park Dr, Oxford, MS 38655-5327 | 2006-11-06 |
| 1629159587 | Urological Surgery Associates Pllc | Urology | 294 E Layfair Dr, Flowood, MS 39232-9526 | 2006-10-18 |
| 1013098995 | Avinash C Gulanikar | Urology | 294 East Layfair Dr, Flowood, MS 39232 | 2006-10-18 |
| Find all providers with the same taxonomy | ||||
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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.