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JOHNSON CITY UROLOGICAL CLINIC, P.C.
NPI 1578689253
Urology - Pediatric Urology in Johnson City, TN

Active since March 22, 2007
2340 KNOB CREEK ROAD, SUITE 720, JOHNSON CITY, TN 37604(423) 926-6112(423) 434-0278 Get Directions Write a Review

NPPES record last updated: August 19, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Johnson City Urological Clinic, P.c. NPPES

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

JOHNSON CITY UROLOGICAL CLINIC, P.C. (NPI 1578689253) is a healthcare organization registered as a pediatric urology in Johnson City, Tennessee and active in the NPI registry since March 2007. The organization lists Grant D Taylor, Owner, as its authorized official.

NPPES Registry Identity

NPI1578689253
Entity TypeOrganization
Primary Taxonomy2088P0231X
Legal Business NameJOHNSON CITY UROLOGICAL CLINIC, P.C.
Location Address2340 KNOB CREEK ROAD, SUITE 720Johnson City, TN 37604-2977
Mailing Address2340 Knob Creek Road, Suite 720Johnson City, TN 37604-2977 · (423) 926-6112 · Fax (423) 434-0278
Phone(423) 926-6112
Fax(423) 434-0278
Organization SubpartNo
Authorized OfficialGrant D TaylorOwner · (423) 926-6112
Enumeration DateMarch 22, 2007
Last NPPES UpdateAugust 19, 2009
✔ NPI 1578689253 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).
2340 KNOB CREEK ROAD, Johnson City, TN 37604
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Other Identifiers 10

Medicare UPINB03530TN
Medicare ID-Type Unspecified3875502TN
Medicaid3172410TN
Medicare ID-Type Unspecified3375873TN
Medicare UPING70839TN
Medicare UPINI32522TN
Medicare ID-Type Unspecified3329892TN
Medicare ID-Type Unspecified3172411TN
Medicare ID-Type Unspecified3852420TN
Medicare UPINH58881TN

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

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

BETHANY B THOMAS SPEECH PATHOLOGIST
Speech-Language Pathologist
2340 KNOB CREEK ROAD, SUITE 704
JOHNSON CITY, TN 37604
Washington County (423) 929-9101

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 Johnson City Urological Clinic, P.C.'s NPI number?

The NPI number for Johnson City Urological Clinic, P.C. is 1578689253. It was assigned to this organization in the NPPES registry on March 22, 2007.

Where is Johnson City Urological Clinic, P.C. located?

Johnson City Urological Clinic, P.C. is located at 2340 Knob Creek Road Suite 720, Johnson City, TN 37604. The listed phone number is (423) 926-6112.

What is Johnson City Urological Clinic, P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Johnson City Urological Clinic, P.C. was last updated on August 19, 2009. 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.