ACADEMIC UROLOGY OF PA, LLC – NPI #1417288150
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.

ACADEMIC UROLOGY OF PA, LLC is an urologist located in LANSDALE, PA. NPPES has assigned the NPI number 1417288150 to ACADEMIC UROLOGY OF PA, LLC on January 20, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

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
1417288150
Enumeration Date

(more than 16 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
125 MEDICAL CAMPUS DR
MEDICAL ARTS BUILDING, SUITE 305
LANSDALE, PA 19446-7205
Phone: (215) 361-2304 Fax: (215) 361-2389
Mailing address
919 CONESTOGA RD
BUILDING ONE, SUITE 300
BRYN MAWR, PA 19010-1352
Phone: (610) 525-6580 Fax: (610) 525-3664
Organization Subpart
No
Authorized Official
DAVID ELLIS
PRESIDENT
Phone: (610) 525-6580
Updated
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)
PA MD031222E

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.