JEFFERSON UROLOGY CLINIC
NPI 1174917033
Urology in Port Townsend, WA
- Organization
- Urology
- Accepts Insurance
About JEFFERSON UROLOGY CLINIC
This page provides the complete NPI Profile along with additional information for Jefferson Urology Clinic, a provider established in Port Townsend, Washington operating as a Urology. The healthcare provider is registered in the NPI registry with number 1174917033 assigned on March 2015. The practitioner's primary taxonomy code is 208800000X with license number HAC.FS.00000085 (WA). The provider is registered as an organization and their NPI record was last updated 6 years ago. Jefferson Urology Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Jefferson Urology Clinic. The authorized official of this NPI record is Mike Glenn (Ceo)
- NPI
- 1174917033 Verify this NPI
- Provider Legal Name
- JEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2
- Other Organization Name
- JEFFERSON UROLOGY CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1274 7TH ST STE B PORT TOWNSEND, WA 98368
- Location Phone
- (360) 385-2905
- Location Fax
- (360) 385-6796
- Mailing Address
- 834 SHERIDAN ST PORT TOWNSEND, WA 98368
- Mailing Phone
- (360) 385-2200
- Mailing Fax
- (360) 379-2256
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-27-2015
- Last Update Date
- 10-29-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- HAC.FS.00000085
- License State
- WA
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174917033, enumerated as an "organization" on March 27, 2015.
The provider is located at 1274 7TH ST STE B PORT TOWNSEND, WA 98368 and the phone number is (360) 385-2905.
Urology with taxonomy code 208800000X.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.
