UROLOGICAL ASSOCIATES OF GRAND ISLAND LLC (NPI# 1538198890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538198890 |
| Entity Type | Organization |
| Organization Name | UROLOGICAL ASSOCIATES OF GRAND ISLAND LLC |
| Practice Address |
620 N Alpha St Grand Island NE 68803-4316 |
| Practice Telephone | 3083810473 |
| Practice Fax Number | 3083812616 |
| Mailing Telephone | 3083810473 |
| Mailing Fax Number | 3083812616 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2010-01-28 |
| Authorized Official Name | DR. JAMES C WENDT (PRESIDENT) |
| Authorized Official Telephone | 3083810473 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
620 N ALPHA ST |
| City | GRAND ISLAND |
| State | NE |
| Zip Code | 68803-4316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588666275 | Gregory L. Alberts | Urology | 620 N Alpha St, Grand Island, NE 68803-4316 | 2005-08-11 |
| 1003896010 | Richard Bruce Koefoot | Specialist | 620 N Alpha St, Grand Island, NE 68803-4316 | 2006-01-18 |
| 1629070347 | James C. Wendt | Urology | 620 N Alpha St, Grand Island, NE 68803-4316 | 2005-08-12 |
| 1679575377 | Lawrence W. Hake | Urology | 620 N Alpha St, Grand Island, NE 68803-4316 | 2005-08-11 |
| 1013919711 | Urological Associates of Grand Island P.C. | Urology | 620 N Alpha St, Grand Island, NE 68803-4316 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053884 | Christopher Patrin | Counselor | 1811 West 2nd Street, Suite 450, Grand Island, NE 68803 | 2020-11-03 |
| 1942848593 | Specialized Outpatient Services | Counselor | 1811 West 2nd Street Suite 450, Grand Island, NE 68803 | 2019-12-13 |
| 1558910604 | Grand Island Regional Medical Center | General Acute Care Hospital | 3533 Prairieview Street, Grand Island, NE 68803 | 2019-09-10 |
| 1992225817 | Destiny Mostek | Dietitian, Registered | 2201 N. Broadwell Ave, Grand Island, NE 68803 | 2017-06-21 |
| 1184150591 | Brandy Rae Bird | Registered Nurse | Mosaic Msu 2905 West 5th Street, Grand Island, NE 68803 | 2017-05-04 |
| 1831633171 | Karla Jean Sextro | Counselor | 2112 W. Faidley Ave, Grand Island, NE 68803 | 2016-12-06 |
| 1689062895 | Good Hands Clinic PC | Specialist | 524 South Webb Rd, Suite 1, Grand Island, NE 68803 | 2014-12-23 |
| 1346664554 | Lindsey M Modlin | Dental Hygienist | 4234 New York Ave, Grandi Island, NE 68803 | 2014-02-07 |
| 1568711711 | Danessa Marie Kenney | Counselor | 908 N. Howard Ave. Suite 107, Nebraska Children's Home Society, Grand Island, NE 68803 | 2012-09-04 |
| 1649528563 | Nicole Morris | Physical Therapist | 2116 Faidley Ave, Grand Island, NE 68803 | 2012-08-27 |
| Find all providers in zip 68803 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538667910 | Lauren Jane Fonte | Specialist | 218 Woodstream Drive, Grand Island, NY 14072 | 2018-01-31 |
| 1932615382 | Jennifer Marie Lipka | Specialist | 1668 Broadway, Grand Island, NY 14072-2730 | 2017-12-21 |
| 1790228021 | Anthony Surace | Specialist | 3107 Stony Point Rd, Grand Island, NY 14072-1170 | 2016-11-17 |
| 1699229427 | Breanna Claire Brodsky | Specialist | 56 Marilyn Dr, Grand Island, NY 14072-2632 | 2016-08-10 |
| 1689062895 | Good Hands Clinic PC | Specialist | 524 South Webb Rd, Suite 1, Grand Island, NE 68803 | 2014-12-23 |
| 1407111602 | Brandy Miano | Specialist | 333 South Ln, Grand Island, NY 14072-1392 | 2012-07-12 |
| 1356604102 | Michelle L Smith | Specialist | 2282 Center Ct N Apt 2, Grand Island, NY 14072-1747 | 2012-06-18 |
| 1356603708 | Laura Marie Hayden | Specialist | 2233 Bedell Rd, Apt 7, Grand Island, NY 14072-1660 | 2012-06-12 |
| 1790047116 | Greer Elizabeth Claffey | Specialist | 104 Birkshire Dr, Grand Island, NY 14072-1364 | 2012-06-12 |
| 1003178328 | Michelle Anne Kehoe | Specialist | 157 Countryside Ln, Grand Island, NY 14072-2517 | 2012-06-12 |
| Find all providers in GRAND ISLAND | ||||
| City | GRAND ISLAND |
| Zip Code | 68803 |
Please comment or provide details below to improve the information on UROLOGICAL ASSOCIATES OF GRAND ISLAND 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.