Provider Demographics
NPI:1952334690
Name:UROLOGY ASSOCIATES, LTD
Entity type:Organization
Organization Name:UROLOGY ASSOCIATES, LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BOARD PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZEIDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-264-4431
Mailing Address - Street 1:202 E EARLL DR
Mailing Address - Street 2:STE 360
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-2634
Mailing Address - Country:US
Mailing Address - Phone:602-264-4431
Mailing Address - Fax:602-241-5109
Practice Address - Street 1:202 E EARLL DR
Practice Address - Street 2:STE 360
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-2634
Practice Address - Country:US
Practice Address - Phone:602-264-4431
Practice Address - Fax:602-241-5109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ19452208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1902010465OtherNPI
AZC99175Medicare UPIN
AZQ57668Medicare UPIN
AZC04329Medicare UPIN
AZ1902010465OtherNPI
AZP64294Medicare UPIN
AZD44365Medicare UPIN
AZH94537Medicare UPIN
AZG76423Medicare UPIN
AZH79876Medicare UPIN
AZE83191Medicare UPIN
AZH11936Medicare UPIN