AFFINITY UROLOGY CLINIC – NPI #1558793109
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.

Health Care Provider Taxonomy Code for Urology

AFFINITY UROLOGY CLINIC is an urologist located in MONROE, LA. NPPES has assigned the NPI number 1558793109 to AFFINITY UROLOGY CLINIC on August 06, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AFFINITY UROLOGY CLINIC” is a dba name, the actual legal business name for this organization is AFFINITY HEALTH GROUP, LLC. 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 5 years ago on Jul 21, 2021. 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 AFFINITY UROLOGY CLINIC below.

NPI Profile for
AFFINITY HEALTH GROUP, LLC

NPI Number
1558793109
Enumeration Date

(about 13 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
AFFINITY HEALTH GROUP, LLC
Doing Business As (dba): AFFINITY UROLOGY CLINIC
Primary location
2516 BROADMOOR BLVD STE 3B
MONROE, LA 71201-2988
Phone: (318) 807-1390 Fax: (318) 807-1394
Mailing address
130 DESIARD ST
SUITE 355
MONROE, LA 71201-7319
Phone: (318) 807-7875 Fax: (318) 812-9997
Organization Subpart
No
Authorized Official
MIKE BREARD
VICE PRESIDENT
Phone: (318) 361-0900
Updated
Certification Date
Jul 21, 2021

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
208800000X
- Urology (Primary)

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.