NORTHEAST ALABAMA UROLOGY CENTER, P.C. (NPI# 1841420049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841420049 |
| Entity Type | Organization |
| Organization Name | NORTHEAST ALABAMA UROLOGY CENTER, P.C. |
| Other Organization Name | ROSEN UROLOGY CENTER |
| Practice Address |
201 Henry Rd Sw Jacksonville AL 36265-3324 |
| Mailing Address |
Po Box 339 Jacksonville AL 36265-0339 |
| Practice Telephone | 2564351871 |
| Practice Fax Number | 2564355703 |
| Mailing Telephone | 2564351871 |
| Mailing Fax Number | 2564355703 |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-10-29 |
| Authorized Official Name | MR. LAWRENCE STANLEY ROSEN (DIRECTOR) |
| Authorized Official Telephone | 2564351871 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
12000 | AL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Rosen Urology Center | Doing Business As Name - Organization |
| Street Address |
201 HENRY RD SW |
| City | JACKSONVILLE |
| State | AL |
| Zip Code | 36265-3324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629064118 | Lawrence S Rosen | Specialist | 201 Henry Rd Sw, Jacksonville, AL 36265-3324 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700436144 | Griffin Loflin | Specialist/Technologist | 775 Park Ave Nw, Attn. Sports Medicine, Jacksonville, AL 36265 | 2019-09-17 |
| 1114304011 | Caroline Ross | Counselor | 1215 Jackson Way Sw, Jacksonville, AL 36265 | 2015-04-29 |
| 1083001226 | Tracey Hudgins | Counselor | 1215 Jackson's Way, Jacksonville, AL 36265 | 2015-04-24 |
| 1235415118 | Adam Pike | Pharmacist | 311 Pelham Rd So, Jacksonville, AL 36265 | 2011-10-24 |
| 1386829489 | Physicians Choice Dialysis of Jacksonville, LLC | Clinic/Center | 331 Henry Road Sw, Jacksonville, AL 36265 | 2008-01-08 |
| 1659409365 | Kenneth Wayne Campbell | Nurse Anesthetist, Certified Registered | 1701 Pelham Road, Jacksonville Medical Center, Jacksonville, AL 36265 | 2007-03-02 |
| 1154478378 | Diana C. Ford | Counselor | 1250 Jackson's Way, Garrett Counseling Center, Jacksonville, AL 36265 | 2007-01-03 |
| 1487710950 | James Richard Morrison | Chiropractor | 1550 Pelham Rd. S., Jacksonville, AL 36265 | 2006-12-29 |
| 1447332937 | Millennium Anesthesia Services | Anesthesiology | 1701 Pelham Road S, Jacksonville, AL 36265 | 2006-10-20 |
| 1407943228 | Brunda Revanna, Md | Clinic/Center | 1465 A 1st Ave Sw Ste C, Jacksonville, AL 36265 | 2006-10-05 |
| Find all providers in zip 36265 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972161776 | Pain Relief and Rehab Physicians Group Inc | Clinic/Center | 6444 Beach Blvd Ste 2002, Jacksonville, FL 32216-2891 | 2019-06-05 |
| 1205399946 | Usa United Surgical Assistants | Clinic/Center | Bahri Surgical Center, 9726 Touchton Rd, Jacksonville, FL 32246 | 2019-04-10 |
| 1801313788 | Ace Medical LLC | Clinic/Center | 3450 Dunn Ave Ste 302, Jacksonville, FL 32218-6427 | 2017-08-23 |
| 1780033498 | Healthworks Med Group of Florida Pa | Clinic/Center | 5022 Gate Pkwy Ste 400, Jacksonville, FL 32256-0833 | 2016-06-03 |
| 1851344378 | Solantic/south Florida, LLC | Clinic/Center | 8711 Perimter Park Blvd., Suite 6, Jacksonville, FL 32216 | 2006-05-18 |
| 1255336350 | Walter R Gilbert Jr Md Pa | Clinic/Center | 3 Shircliff Way, Ste 122, Jacksonville, FL 32204-4757 | 2005-06-15 |
| 1710592787 | Infinite Rehabilitation and Wellness Center, LLC | Clinic/Center | 6349 Beach Blvd, Jacksonville, FL 32216-2707 | 2020-09-15 |
| 1083229017 | Infinite Rehabilitation and Wellness Center, LLC | Clinic/Center | 7450 103rd St, Jacksonville, FL 32210-6780 | 2020-09-15 |
| 1801407291 | Patient Focus Physicians Associates Inc | Clinic/Center | 101 Century 21 Dr, Jacksonville, FL 32216-8115 | 2020-08-11 |
| 1093331456 | Jax Health LLC | Clinic/Center | 4540 Southside Blvd Ste 401, Jacksonville, FL 32216-5488 | 2020-06-22 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 36265 |
Please comment or provide details below to improve the information on NORTHEAST ALABAMA UROLOGY CENTER, P.C..
| 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.