ACADEMIC UROLOGY OF PA, LLC – NPI #1336439645
Clinic/Center

ACADEMIC UROLOGY OF PA, LLC is an AHC clinic located in BRYN MAWR, PA. NPPES has assigned the NPI number 1336439645 to ACADEMIC UROLOGY OF PA, LLC on April 08, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 5 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 2 years ago on Apr 03, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ACADEMIC UROLOGY OF PA, LLC below.

NPI Profile for
ACADEMIC UROLOGY OF PA, LLC

NPI Number
1336439645
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ACADEMIC UROLOGY OF PA, LLC
Primary location
919 CONESTOGA RD
BUILDING 1 SUITE 300
BRYN MAWR, PA 19010-1352
Phone: (610) 525-6580 Fax: (610) 525-3664
5 Other location(s):
200 E State St Ste 205
Media, PA 19063-3434
Phone: (610) 565-2776
Fax: (610) 565-4247
2 Industrial Blvd Ste 120
Paoli, PA 19301-1645
Phone: (610) 644-2165
Fax: (610) 644-2165
20 N Sunnybrook Rd
Pottstown, PA 19464-2946
Phone: (610) 935-9010
Fax: (610) 935-1510
1055 Andrew Dr Ste A
West Chester, PA 19380-3446
Phone: (610) 692-4270
915 Old Fern Hill Rd Ste 202
West Chester, PA 19380-3431
Phone: (610) 692-4270
Fax: (610) 692-2566
Mailing address
211 S GULPH RD
SUITE 200
KING OF PRUSSIA, PA 19406-3112
Phone: (610) 382-5910 Fax: (610) 382-5918
Organization Subpart
No
Authorized Official
DAVID ELLIS
PRESIDENT
Phone: (610) 382-5910
Updated
Certification Date
Apr 03, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 PA 50421501

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.