EXECUTIVE UROLOGY
NPI 1194049866
Urology in Norwalk, OH

Active since March 24, 2010CLIA Certified · 2 labs
278 BENEDICT AVE, SUITE 650, NORWALK, OH 44857(419) 668-4328 Get Directions Write a Review

NPPES record last updated: March 24, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Executive Urology NPPES

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

EXECUTIVE UROLOGY (NPI 1194049866) is a healthcare organization registered as an urology in Norwalk, Ohio and active in the NPI registry since March 2010. The organization holds 2 active CLIA laboratory certificates and lists Robert W Rice, President, as its authorized official.

NPPES Registry Identity

NPI1194049866
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameEXECUTIVE UROLOGY
Location Address278 BENEDICT AVE, SUITE 650Norwalk, OH 44857-2399
Mailing Address2800 Hayes Ave, Bldg DSandusky, OH 44870-7248 · (419) 627-8771
Organization SubpartNo
Authorized OfficialRobert W RicePresident · (419) 627-8771
Enumeration DateMarch 24, 2010
NPI 1194049866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
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.
278 BENEDICT AVE, Norwalk, OH 44857

Other Identifiers 3

Medicare PIN9289582OH
OtherCG9157OH · Railroad Medicare
Medicaid2281972OH

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0344213

Executive Urology Of Fisher-Titus Sandusky · Sandusky, OH
Active · expires Oct 28, 2027
CLIA Number36D0344213
Laboratory TypePhysician Office
Certificate Effective DateOctober 29, 2025
Certificate Expiration DateOctober 28, 2027
Laboratory DirectorDr. Gregory Cook
Laboratory Phone(419) 627-8771
Laboratory LocationExecutive Urology Of Fisher-Titus Sandusky2800 Hayes Ave Bldg D, Sandusky, OH 44870
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D1013354

Executive Urology Of Fisher-Titus Medical Center-Norwalk · Norwalk, OH
Active · expires Jun 8, 2027
CLIA Number36D1013354
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJune 9, 2025
Certificate Expiration DateJune 8, 2027
Laboratory DirectorGregory P. Cook
Laboratory Phone(419) 660-2580
Laboratory LocationExecutive Urology Of Fisher-Titus Medical Center-Norwalk278 Benedict Ave Suite 650, Norwalk, OH 44857
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

Ophthalmology
278 BENEDICT AVE, ST. #300
NORWALK, OH 44857
Ophthalmology
278 BENEDICT AVE, STE. 300 MEDICAL PARK III
NORWALK, OH 44857
Ophthalmology
278 BENEDICT AVE, STE. 300 MEDICAL PARK III
NORWALK, OH 44857
Surgery
278 BENEDICT AVE, SUITE 800
NORWALK, OH 44857
Surgery
278 BENEDICT AVE, SUITE 800
NORWALK, OH 44857
Obstetrics & Gynecology
278 BENEDICT AVE, SUITE 500
NORWALK, OH 44857
Obstetrics & Gynecology
278 BENEDICT AVE, SUITE 500
NORWALK, OH 44857
Nurse Practitioner (Adult Health)
278 BENEDICT AVE
NORWALK, OH 44857

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Executive Urology's NPI number?

The NPI number for Executive Urology is 1194049866. It was assigned to this organization in the NPPES registry on March 24, 2010.

Where is Executive Urology located?

Executive Urology is located at 278 Benedict Ave Suite 650, Norwalk, OH 44857. The listed phone number is (419) 668-4328.

What is Executive Urology's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Executive Urology hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Executive Urology was last updated on March 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.