ROGER L. SUR, M.D., INC. (NPI# 1699940114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699940114 |
| Entity Type | Organization |
| Organization Name | ROGER L. SUR, M.D., INC. |
| Practice Address |
8851 Center Drive Suite #501 La Mesa CA 91942-3058 |
| Practice Telephone | 6196972456 |
| Practice Fax Number | 6196972494 |
| Mailing Telephone | 6196972456 |
| Mailing Fax Number | 6196972494 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2009-04-14 |
| Authorized Official Name | DR. ROGER LU SUR (PRESIDENT) |
| Authorized Official Telephone | 6196940817 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | G80585 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI TYPE 1 | 1932208022 | 01 | |
| UPIN | I16457 | 01 |
| Street Address |
8851 CENTER DRIVE SUITE #501 |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-3058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366471096 | Moneer Jaibaji | Plastic Surgery | 8851 Center Drive, Suite # 301, La Mesa, CA 91942-3058 | 2006-07-03 |
| 1477721207 | Simon D. Wu | Urology | 8851 Center Drive, Suite 208, La Mesa, CA 91942-3058 | 2008-02-14 |
| 1235332461 | Mark C Levine Md A Professional Corporation | Psychiatry & Neurology | 8851 Center Drive, Suite 401, La Mesa, CA 91942 | 2007-06-06 |
| 1649388901 | Tom J Pousti | Plastic Surgery | 8851 Center Drive, Suite 300, La Mesa, CA 91942-3032 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
| Find all providers in zip 91942 | ||||
| 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 |
|---|---|---|---|---|
| 1245673334 | Carrie Aisen | Urology | 8881 Fletcher Pkwy Ste 250, La Mesa, CA 91942-3191 | 2013-04-09 |
| 1932475753 | Arthur Lee Wollman | Urology | 9750 Lake Helix Ter, La Mesa, CA 91941-4432 | 2012-03-26 |
| 1861673436 | Stephanie R Collier | Urology | 8851 Center Dr Ste 208, La Mesa, CA 91942-3189 | 2007-11-23 |
| 1598858896 | Scott Logan Brown,md, A Professional Corp | Urology | 8851 Center Dr., Suite 208, La Mesa, CA 91942-3058 | 2006-10-02 |
| 1144232778 | Wilfred S. Kearse Jr. | Urology | 8851 Center Dr Ste 501, La Mesa, CA 91942-3033 | 2006-08-12 |
| 1295210029 | United Urology Consultants, P.C. | Urology | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2018-09-27 |
| 1124563515 | On Call Urology Associates | Urology | 8851 Center Dr Ste 208, La Mesa, CA 91942-3189 | 2016-12-21 |
| 1932586302 | Cameron Wilson Inc | Urology | 8851 Center Dr Ste 208, La Mesa, CA 91942-3189 | 2015-05-05 |
| 1689081275 | Claudia Sevilla | Urology | 8881 Fletcher Pkwy Ste 250, La Mesa, CA 91942-3191 | 2014-07-16 |
| 1255775912 | Michael Andrew Ahdoot | Urology | 8881 Fletcher Pkwy Ste 250, La Mesa, CA 91942-3191 | 2013-04-24 |
| Find all providers in LA MESA | ||||
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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.