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SOUTH DAYTON UROLOGICAL ASSOCIATES NPI 1811022619


NPI Information

NPI: 1811022619
Provider Name: SOUTH DAYTON UROLOGICAL ASSOCIATES
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 36D0349938

Address:
10 SOUTHMOOR CIR NW
KETTERING, OH
ZIP 45429
Phone: (937) 294-1489
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SOUTH DAYTON UROLOGICAL ASSOCIATES is an urology in Kettering, OH. 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. SOUTH DAYTON UROLOGICAL ASSOCIATES NPI is 1811022619. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10 SOUTHMOOR CIR NW
KETTERING, OH
ZIP 45429-444
Phone: (937) 294-1489
Fax: (937) 297-6468

The provider's authorized official is Sammy A. Hamway .
The authorized official title is President and has the following contact phone number (937) 294-1489.

The CLIA number assigned to this NPI record is 36D0349938 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/22/2007 and was last updated on 8/22/2020.


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

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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