Provider Demographics
NPI:1992890172
Name:UROLOGY OF NORTHERN OHIO, INC
Entity type:Organization
Organization Name:UROLOGY OF NORTHERN OHIO, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:SPIRNAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-930-6060
Mailing Address - Street 1:5319 HOAG DR
Mailing Address - Street 2:SUITE 240
Mailing Address - City:SHEFFIELD VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44035-1494
Mailing Address - Country:US
Mailing Address - Phone:440-930-6060
Mailing Address - Fax:440-934-8881
Practice Address - Street 1:5319 HOAG DR
Practice Address - Street 2:SUITE 240
Practice Address - City:SHEFFIELD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44035-1494
Practice Address - Country:US
Practice Address - Phone:440-930-6060
Practice Address - Fax:440-934-8881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
35042212S208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH02865Medicare UPIN
OHC02555Medicare UPIN
OHQ26301Medicare UPIN
OHF60718Medicare UPIN