STATE COLLEGE UROLOGIC ASSOCIATES, INC. (NPI# 1780631564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780631564 |
| Entity Type | Organization |
| Organization Name | STATE COLLEGE UROLOGIC ASSOCIATES, INC. |
| Practice Address |
905 University Dr State College PA 16801-6626 |
| Practice Telephone | 8142388418 |
| Practice Fax Number | 8142342888 |
| Mailing Telephone | 8142388418 |
| Mailing Fax Number | 8142342888 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2010-08-02 |
| Authorized Official Name | MS. ELAINE MEYER (ACCOUNT COORDINATOR) |
| Authorized Official Telephone | 8142723148 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0006452570001 | 05 |
| Street Address |
905 UNIVERSITY DR |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16801-6626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033102785 | Guillard Internal Medicine Inc. | Internal Medicine | 905 University Dr, Suite 1, State College, PA 16801-6626 | 2005-08-29 |
| 1245875426 | Jennifer L Thomas | Physician Assistant | 905 University Dr, State College, PA 16801-6626 | 2019-11-12 |
| 1255975892 | Lauren B Davidson | Nurse Practitioner | 905 University Dr, State College, PA 16801-6626 | 2019-11-06 |
| 1023524501 | Melissa Ann Wallace | Nurse Practitioner | 905 University Dr, State College, PA 16801-6626 | 2017-12-20 |
| 1124533138 | Caitlin J Fernandez | Nurse Practitioner | 905 University Dr, State College, PA 16801-6626 | 2017-12-13 |
| 1407385479 | Allison M Guillard | Nurse Practitioner | 905 University Dr, State College, PA 16801-6626 | 2017-06-05 |
| 1942627799 | Katie Elizabeth Shelley Armold | Physician Assistant | 905 University Dr, State College, PA 16801-6626 | 2014-03-18 |
| 1164867867 | Erin Marie Gabany | Nurse Practitioner | 905 University Dr, Ste 2, State College, PA 16801-6626 | 2013-05-08 |
| 1427317932 | Blake Alexander Stewart | Surgery | 905 University Dr, State College, PA 16801-6626 | 2012-05-04 |
| 1508123407 | Stephen Harry Phillips II | Urology | 905 University Dr, State College, PA 16801-6626 | 2012-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851880975 | Creative Reflections Counseling, LLC | Counselor | 315 S Allen St Ste 124b, State College, PA 16801 | 2018-05-03 |
| 1679097901 | Michelle L Grove | Home Health Aide | 2100 E College Ave Ste B, State College, PA 16801 | 2017-07-28 |
| 1740702034 | Matthew Ishler | Counselor | 315 S. Allen Street Ste 326, State College, PA 16801 | 2017-07-09 |
| 1699206300 | Emily Lauer | Specialist/Technologist | 102a Multisport Indoor Facility, State College, PA 16801 | 2017-03-23 |
| 1740721075 | Luk Devorski | Student in an Organized Health Care Education/Training Program | Rec Hall University Park, Penn State University, State College, PA 16801 | 2017-03-20 |
| 1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
| 1740685858 | Mallory L. Miller | Physician Assistant | 100 Radnor Rd Ste 101, State College, PA 16801 | 2014-10-31 |
| 1386053981 | Christopher Hippenmeyer | Specialist/Technologist | 102a East Area Locker Building, Pennsylvania State University, University Park, PA 16801 | 2014-08-07 |
| 1982022059 | Christy Sharer | Counselor | 301 S Allen St Ste 106, State College, PA 16801 | 2014-04-04 |
| 1912250523 | Eva M Letwin | Counselor | 2011 Cato Ave Ste 201, State College, PA 16801 | 2012-10-19 |
| Find all providers in zip 16801 | ||||
| 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 |
|---|---|---|---|---|
| 1508123407 | Stephen Harry Phillips II | Urology | 905 University Dr, State College, PA 16801-6626 | 2012-04-16 |
| 1912153503 | Christopher Thomas Yingling | Urology | 905 University Dr, State College, PA 16801-6626 | 2008-08-14 |
| 1659345817 | Kwabena S. Ansong | Urology | 200 Scenery Dr, State College, PA 16801-7974 | 2006-02-15 |
| 1528047024 | Robert Marshall Wild Jr. | Urology | 905 University Dr, State College, PA 16801-6626 | 2006-01-12 |
| 1780663229 | Charles Munford Dalton | Urology | 905 University Dr, State College, PA 16801-6626 | 2006-01-12 |
| 1639158173 | David Oselinsky | Urology | 905 University Dr, Suite 2, State College, PA 16801-6626 | 2006-01-12 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | STATE COLLEGE |
| Zip Code | 16801 |
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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.