Provider Demographics
NPI:1851421234
Name:ALL CAPE UROLOGY, P.C.
Entity Type:Organization
Organization Name:ALL CAPE UROLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:PRIZZI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-775-0667
Mailing Address - Street 1:20 GLEASON ST
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-5220
Mailing Address - Country:US
Mailing Address - Phone:508-775-0667
Mailing Address - Fax:508-775-6358
Practice Address - Street 1:20 GLEASON ST
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-5220
Practice Address - Country:US
Practice Address - Phone:508-775-0667
Practice Address - Fax:508-775-6358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
27142OtherHARVARD PILGRIM
1900057OtherUNITED HEALTHCARE
MA9730516Medicaid
MA0000000296589OtherBMC HEALTHNET PLAN
1422778001OtherCIGNA
3120OtherAETNA
719418OtherTUFTS
MA9730516Medicaid
3120OtherAETNA
A59757Medicare UPIN