ROSEVILLE UROLOGY, INC. (NPI# 1871822072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871822072 |
| Entity Type | Organization |
| Organization Name | ROSEVILLE UROLOGY, INC. |
| Practice Address |
5 Medical Plaza Dr Suite 250 Roseville CA 95661-2865 |
| Mailing Address |
7936 Indian Springs Way Orangevale CA 95662 |
| Practice Telephone | 9167822229 |
| Practice Fax Number | 9167979414 |
| Mailing Telephone | 9167683290 |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2009-12-17 |
| Authorized Official Name | DAVID RAYMOND COUILLARD (CEO) |
| Authorized Official Telephone | 9167683290 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | G68651 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5 MEDICAL PLAZA DR SUITE 250 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-2865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841267960 | Denise Lora Sweeney | Obstetrics & Gynecology | 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661-2868 | 2006-03-07 |
| 1114323912 | Rhonda Lynn Lee | Nurse Practitioner | 5 Medical Plaza Dr, #210, Roseville, CA 95661-2865 | 2014-11-06 |
| 1184965725 | Mark Drake | Podiatrist | 5 Medical Plaza Dr, 110, Roseville, CA 95661-2865 | 2013-03-06 |
| 1043579808 | Dennis Idowu | Obstetrics & Gynecology | 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661-2865 | 2012-05-14 |
| 1811262348 | Wellspace Health | Clinic/Center | 5 Medical Plaza Dr, Suite 170, Roseville, CA 95661-2865 | 2012-03-16 |
| 1164796546 | Lorna Adolfo, A Professional Medical Corporation | Internal Medicine | 5 Medical Plaza Dr, Ste# 110, Roseville, CA 95661-2865 | 2012-03-01 |
| 1073884045 | Vitreo-retinal Medical Group, Inc | Ophthalmology | 5 Medical Plaza Dr, Suite 180, Roseville, CA 95661-2865 | 2012-01-23 |
| 1801114988 | Brian Michael Bellucci | Internal Medicine | 5 Medical Plaza Dr, Suite 190, Roseville, CA 95661-2865 | 2010-05-13 |
| 1750526083 | Radiological Associates of Sacramento Medical Group Inc | Radiology | 5 Medical Plaza Dr, 130, Roseville, CA 95661-2865 | 2008-12-16 |
| 1891947859 | Rolf N. Gulbrandson, M.d., Inc. | Specialist | 5 Medical Plaza Dr, Suite 120, Roseville, CA 95661-2865 | 2008-10-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
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| 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 |
|---|---|---|---|---|
| 1295909455 | Ina Kim | Urology | 3 Medical Plaza Dr Ste 250, Roseville, CA 95661-3089 | 2008-04-18 |
| 1457462319 | David R Couillard | Urology | 584 N Sunrise Ave Ste 100, Roseville, CA 95661-2862 | 2006-08-31 |
| 1558319921 | Grosse Pointe Urologic Surgeons | Urology | 18325 10 Mile, Ste 200, Roseville, MI 48066 | 2006-05-05 |
| 1932187705 | Andrew Huang | Urology | 1600 Eureka Rd Bldg C, Roseville, CA 95661-3027 | 2006-01-03 |
| 1306821822 | John E Gould | Urology | 1130 Conroy Ln, Suite 100, Roseville, CA 95661-4156 | 2005-12-07 |
| 1174043129 | Javidan Urology, Inc | Urology | 729 Sunrise Ave Ste 200, Roseville, CA 95661-4504 | 2017-06-21 |
| 1750640322 | Eric Levy | Urology | 3 Medical Plaza Dr Ste 250, Roseville, CA 95661-3089 | 2012-05-16 |
| 1134434764 | Abdo J. Faddoul, M.d. A Prof Corp | Urology | 2 Medical Plaza, Suite 285, Roseville, CA 95661 | 2010-08-06 |
| 1043448533 | Hossein Mirheydar | Urology | 3 Medical Plaza Dr, Ste 250, Roseville, CA 95661-3087 | 2009-06-23 |
| 1336380286 | Carolina Raveau Alvayay | Urology | 3 Medical Plaza Dr, Suite 250, Roseville, CA 95661-3087 | 2009-03-23 |
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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.