ACKERMAN UROLOGY – NPI #1093174377
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

ACKERMAN UROLOGY is an urologist located in ORANGE PARK, FL. NPPES has assigned the NPI number 1093174377 to ACKERMAN UROLOGY on February 16, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ACKERMAN UROLOGY” is a dba name, the actual legal business name for this organization is ACKERMAN CANCER CENTER. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 3 years ago on Jul 13, 2023. 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 ACKERMAN UROLOGY below.

NPI Profile for
ACKERMAN CANCER CENTER

NPI Number
1093174377
Enumeration Date

(more than 10 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
ACKERMAN CANCER CENTER
Doing Business As (dba): ACKERMAN UROLOGY
Primary location
1895 KINGSLEY AVE
SUITE 903
ORANGE PARK, FL 32073-4466
Phone: (904) 644-8353 Fax: (904) 644-8289
Mailing address
10881 SAN JOSE BLVD
JACKSONVILLE, FL 32223-6612
Phone: (904) 260-3022 Fax: (904) 260-3947
Organization Subpart
No
Authorized Official
SCOT ACKERMAN
AUTHORIZED OFFICIAL
Phone: (904) 880-5522
Updated
Certification Date
Jul 13, 2023

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.

Identifiers

Identifiers for ACKERMAN UROLOGY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL006734700
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
208800000X
- Urology (Primary)
FL ME92864

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.