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UROLOGIC SURGICAL ASSOCIATES
NPI 1649487083
Specialist in Charleston, WV

Active since May 16, 2007
11 COURTNEY DR, CHARLESTON, WV 25304(304) 925-8521(304) 925-8523 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Urologic Surgical Associates NPPES

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

UROLOGIC SURGICAL ASSOCIATES (NPI 1649487083) is a healthcare organization registered as a specialist in Charleston, West Virginia and active in the NPI registry since May 2007. The organization lists Mark Allan Light, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1649487083
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameUROLOGIC SURGICAL ASSOCIATES
Location Address11 COURTNEY DRCharleston, WV 25304-2699
Mailing Address11 Courtney DrCharleston, WV 25304-2699 · (304) 925-8521 · Fax (304) 925-8523
Phone(304) 925-8521
Fax(304) 925-8523
Organization SubpartNo
Authorized OfficialMark Allan LightOffice Administrator · (304) 925-8521
Enumeration DateMay 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1649487083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
11 COURTNEY DR, Charleston, WV 25304
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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 4

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

INTEGRATED HEALTH CARE PROVIDERS, INC.
Urology
11 COURTNEY DR
CHARLESTON, WV 25304
Kanawha County (304) 925-8521
CHRISTINA KINDER APRN, FNP-BC
Nurse Practitioner (Family)
11 COURTNEY DR
CHARLESTON, WV 25304
Kanawha County (304) 925-8521
VICTORIA BUTCHER APRN
Urology
11 COURTNEY DR
CHARLESTON, WV 25304
Kanawha County (304) 925-8521
INTEGRATED HEALTH CARE PROVIDERS, INC.
Clinical Medical Laboratory
11 COURTNEY DR
CHARLESTON, WV 25304
Kanawha County (304) 925-8521

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 Urologic Surgical Associates's NPI number?

The NPI number for Urologic Surgical Associates is 1649487083. It was assigned to this organization in the NPPES registry on May 16, 2007.

Where is Urologic Surgical Associates located?

Urologic Surgical Associates is located at 11 Courtney Dr, Charleston, WV 25304. The listed phone number is (304) 925-8521.

What is Urologic Surgical Associates's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Urologic Surgical Associates was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.