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EXECUTIVE UROLOGY
NPI 1649594318
Urology in Bellevue, OH

Active since March 24, 2010CLIA 36D0344213 · Waiver
290 PROGRESS DR, SUITE C, BELLEVUE, OH 44811(419) 484-1701 Get Directions Write a Review

NPPES record last updated: March 24, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Executive Urology NPPES

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

EXECUTIVE UROLOGY (NPI 1649594318) is a healthcare organization registered as an urology in Bellevue, Ohio and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through October 28, 2027 and lists Robert W Rice, President, as its authorized official.

NPPES Registry Identity

NPI1649594318
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameEXECUTIVE UROLOGY
Location Address290 PROGRESS DR, SUITE CBellevue, OH 44811-9099
Mailing Address2800 Hayes Ave, Bldg DSandusky, OH 44870-7248 · (419) 627-8771
Phone(419) 484-1701
Organization SubpartNo
Authorized OfficialRobert W RicePresident · (419) 627-8771
Enumeration DateMarch 24, 2010
✔ NPI 1649594318 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.

290 PROGRESS DR, Bellevue, OH 44811
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Other Identifiers 3

OtherCG9157OH · Railroad Medicare
Medicare PIN9289583OH
Medicaid2282328OH

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

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.

Other Providers at the Same Location NPPES

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

DR. DAVID CLARK GIRVIN D.O.
Family Medicine
290 PROGRESS DR, SUITE D
BELLEVUE, OH 44811
Huron County (419) 483-4722

Frequently Asked Questions

What is EXECUTIVE UROLOGY's NPI number?

The NPI number assigned to this healthcare provider is 1649594318, enumerated as an "organization" on March 24, 2010.

Where is the provider located?

The provider is located at 290 PROGRESS DR SUITE C BELLEVUE, OH 44811 and the phone number is (419) 484-1701.

What is the provider's specialty?

Urology with taxonomy code 208800000X.

What insurance does EXECUTIVE UROLOGY accept?

The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.