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UROLOGY NORTHWEST PS NPI 1003169434


NPI Information

NPI: 1003169434
Provider Name: UROLOGY NORTHWEST, PS

Other Name: UROLOGY NORTHWEST, PS AK

Classification: Urology - 208800000X
Entity Type: Organization
Address:
3100 TONGASS AVE
3RD FLOOR VISITING CLINIC
KETCHIKAN, AK
ZIP 99901
Phone: (855) 881-5319
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UROLOGY NORTHWEST, PS is an urology in Ketchikan, AK. The provider is 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. UROLOGY NORTHWEST, PS NPI is 1003169434. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Urology Northwest, Ps Ak.

The provider's business location address is:

3100 TONGASS AVE
3RD FLOOR VISITING CLINIC
KETCHIKAN, AK
ZIP 99901-746
Phone: (855) 881-5319

The provider's authorized official is Candy Shalon Chapman .
The authorized official title is Administrator and has the following contact phone number (425) 275-5547.

The enumeration date for this NPI number is 10/23/2012 and was last updated on 10/23/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K164231MEDICARE PINALASKA
2MPG0374MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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