Provider Demographics
NPI:1497716831
Name:BAY AREA UROLOGY, INCORPORATED
Entity Type:Organization
Organization Name:BAY AREA UROLOGY, INCORPORATED
Other - Org Name:BAY AREA UROLOGY
Other - Org Type:Other Name
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:KARP
Authorized Official - Suffix:
Authorized Official - Credentials:MD,FACS
Authorized Official - Phone:813-685-0827
Mailing Address - Street 1:6043 WINTHROP COMMERCE AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33578-4272
Mailing Address - Country:US
Mailing Address - Phone:813-685-0827
Mailing Address - Fax:813-655-4204
Practice Address - Street 1:6043 WINTHROP COMMERCE AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-4272
Practice Address - Country:US
Practice Address - Phone:813-685-0827
Practice Address - Fax:813-655-4204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-28
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLC1394OtherRAILROAD MEDICARE
FLF04881Medicare UPIN
FLK0882Medicare PIN
FLG18360Medicare UPIN
FLI38483Medicare UPIN
FL1497716831Medicare PIN
FLC1394OtherRAILROAD MEDICARE
FLE89934Medicare UPIN