Provider Demographics
NPI:1982794970
Name:UROLOGY ASSOCIATES, LTD
Entity type:Organization
Organization Name:UROLOGY ASSOCIATES, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:WHISNANT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-343-8066
Mailing Address - Street 1:102 HIGHLAND AVE SE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24013-2256
Mailing Address - Country:US
Mailing Address - Phone:540-343-8066
Mailing Address - Fax:540-343-5369
Practice Address - Street 1:102 HIGHLAND AVE SE
Practice Address - Street 2:SUITE 105
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24013-2256
Practice Address - Country:US
Practice Address - Phone:540-343-8066
Practice Address - Fax:540-343-5369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C00308Medicare ID - Type Unspecified
0421860001Medicare NSC