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SUMMERSVILLE UROLOGY CLINIC
NPI 1619410693
Urology in Summersville, WV

Active since November 23, 2016
702 PROFESSIONAL PARK DR, SUMMERSVILLE, WV 26651(304) 883-2380(304) 872-6854 Get Directions Write a Review

NPPES record last updated: November 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Summersville Urology Clinic NPPES

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

SUMMERSVILLE UROLOGY CLINIC (NPI 1619410693) is a healthcare organization registered as an urology in Summersville, West Virginia and active in the NPI registry since November 2016. The organization lists Deborah Kincell, Revenue Cycle Director, as its authorized official.

NPPES Registry Identity

NPI1619410693
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameSUMMERSVILLE OUTPATIENT CENTER
Location Address702 PROFESSIONAL PARK DRSummersville, WV 26651-2018
Mailing Address400 Fairview Heights RdSummersville, WV 26651-9308 · (304) 883-0220 · Fax (304) 872-6854
Phone(304) 883-2380
Fax(304) 872-6854
Organization SubpartNo
Authorized OfficialDeborah KincellRevenue Cycle Director · (304) 883-0220
Enumeration DateNovember 23, 2016
✔ NPI 1619410693 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.
702 PROFESSIONAL PARK DR, Summersville, WV 26651
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Other Names 1

Other NameSummersville Urology Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

ROBERT CHARLES STANLEY D.O.
Family Medicine
702 PROFESSIONAL PARK DR, SUITE 100
SUMMERSVILLE, WV 26651
Nicholas County (304) 872-2991
DR JOHN LACKEY INC
Ophthalmology
702 PROFESSIONAL PARK DR, SUITE 102
SUMMERSVILLE, WV 26651
Nicholas County (304) 872-6433
MR. LARRY JACKSON LEGG M.A.
Psychologist (Clinical)
702 PROFESSIONAL PARK DR, STE 106
SUMMERSVILLE, WV 26651
Nicholas County (304) 883-2380
JOHN LACKEY, INC
Eyewear Supplier
702 PROFESSIONAL PARK DR, SUITE102
SUMMERSVILLE, WV 26651
Nicholas County (304) 872-6433

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 Summersville Outpatient Center's NPI number?

The NPI number for Summersville Outpatient Center is 1619410693. It was assigned to this organization in the NPPES registry on November 23, 2016. The provider is also known as Summersville Urology Clinic.

Where is Summersville Outpatient Center located?

Summersville Outpatient Center is located at 702 Professional Park Dr, Summersville, WV 26651. The listed phone number is (304) 883-2380.

What is Summersville Outpatient Center's specialty?

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

When was this NPI record last updated?

The NPPES record for Summersville Outpatient Center was last updated on November 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.