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SOUTHERN UROLOGY ASSOCIATES
NPI 1619919917
Urology in Gulfport, MS

Active since June 12, 2006
15190 COMMUNITY RD, SUITE 260, GULFPORT, MS 39503(228) 539-0071(228) 539-0722 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern Urology Associates NPPES

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

SOUTHERN UROLOGY ASSOCIATES (NPI 1619919917) is a healthcare organization registered as an urology in Gulfport, Mississippi and active in the NPI registry since June 2006. The organization lists Robert J. Lageese, Vp, as its authorized official.

NPPES Registry Identity

NPI1619919917
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameSOUTHERN UROLOGY ASSOCIATES LLC
Location Address15190 COMMUNITY RD, SUITE 260Gulfport, MS 39503-3485
Mailing Address15190 Community Rd, Suite 260Gulfport, MS 39503-3485 · (228) 539-0071 · Fax (228) 539-0722
Phone(228) 539-0071
Fax(228) 539-0722
Organization SubpartNo
Authorized OfficialRobert J. LageeseVp · (504) 988-7044
Enumeration DateJune 12, 2006
Last NPPES UpdateJune 21, 2018
✔ NPI 1619919917 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.
15190 COMMUNITY RD, Gulfport, MS 39503
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Other Names 1

Doing Business AsSouthern Urology Associates

Other Identifiers 1

Medicaid1275576MS

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.

VICTOR P POLITO CRNA
Nurse Anesthetist, Certified Registered
15190 COMMUNITY RD, SUITE 230A
GULFPORT, MS 39503
Harrison County (228) 831-0204
MRS. MICHELLE WRIGHT TAYLOR ACNP
Nurse Practitioner (Acute Care)
15190 COMMUNITY RD, STE 220
GULFPORT, MS 39503
Harrison County (228) 539-3356
GLEN DEITRICK C.R.N.A
Nurse Anesthetist, Certified Registered
15190 COMMUNITY RD, SUITE 230A
GULFPORT, MS 39503
Harrison County (228) 831-0204
JULIE K KLESTER CRNA
Nurse Anesthetist, Certified Registered
15190 COMMUNITY RD, SUITE 230A
GULFPORT, MS 39503
Harrison County (228) 831-0204
JOSHUA DIBBLE
Anesthesiology
15190 COMMUNITY RD
GULFPORT, MS 39503
Harrison County (228) 575-7290
MICHAEL E MOSES MD
Surgery
15190 COMMUNITY RD, SUITE250
GULFPORT, MS 39503
Harrison County (228) 539-8100
MEMORIAL HOSPITAL AT GULFPORT
Urology
15190 COMMUNITY RD, SUITE 240
GULFPORT, MS 39503
Harrison County (228) 539-2242
ROBIN L MITTERER CRNA
Nurse Anesthetist, Certified Registered
15190 COMMUNITY RD, SUITE 230A
GULFPORT, MS 39503
Harrison County (228) 831-0204

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 Southern Urology Associates LLC's NPI number?

The NPI number for Southern Urology Associates LLC is 1619919917. It was assigned to this organization in the NPPES registry on June 12, 2006. The provider is doing business as Southern Urology Associates.

Where is Southern Urology Associates LLC located?

Southern Urology Associates LLC is located at 15190 Community Rd Suite 260, Gulfport, MS 39503. The listed phone number is (228) 539-0071.

What is Southern Urology Associates LLC'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 Southern Urology Associates LLC was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.