UPA PLLC DIV OF UROLOGY
NPI 1033267307
Urology - Pediatric Urology in Jackson, MS

Q: What is Upa PLLC Div Of Urology's NPI number?

The NPI number for Upa PLLC Div Of Urology is 1033267307. It was assigned to this organization in the NPPES registry on January 5, 2007.

Q: What is Upa PLLC Div Of Urology's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Active since January 05, 2007

2500 N STATE ST, JACKSON, MS 39216(601) 815-8991 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Upa Pllc Div Of Urology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UPA PLLC DIV OF UROLOGY (NPI 1033267307) is a healthcare organization registered as a pediatric urology in Jackson, Mississippi and active in the NPI registry since January 2007. The organization lists Owen B Evans, Manager, as its authorized official.

NPPES Registry Identity

NPI1033267307

Entity TypeOrganization

Primary Taxonomy2088P0231X

Legal Business NameUPA PLLC DIV OF UROLOGY

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 815-8991

Phone(601) 815-8991

Organization SubpartNo

Authorized OfficialOwen B EvansManager · (601) 984-5214

Enumeration DateJanuary 5, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1033267307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

2500 N STATE ST, Jackson, MS 39216

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Other Identifiers 1

Medicaid09015170MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAMAR DAVIS II M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)