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UROLOGY TYLER, PA
NPI 1861572968
Urology in Tyler, TX

Active since October 16, 2006
700 OLYMPIC PLAZA CIR STE 700, TYLER, TX 75701(903) 262-3900(903) 262-3993 Get Directions Write a Review

NPPES record last updated: August 14, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Urology Tyler, Pa NPPES

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

UROLOGY TYLER, PA (NPI 1861572968) is a healthcare organization registered as an urology in Tyler, Texas and active in the NPI registry since October 2006. The organization lists Stanton P. Champion, President, as its authorized official.

NPPES Registry Identity

NPI1861572968
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameUROLOGY TYLER, PA
Location Address700 OLYMPIC PLAZA CIR STE 700Tyler, TX 75701-1954
Mailing AddressPo Box 8026Tyler, TX 75711-8026 · (903) 262-3900 · Fax (903) 262-3993
Phone(903) 262-3900
Fax(903) 262-3993
Organization SubpartNo
Authorized OfficialStanton P. ChampionPresident · (903) 262-3900
Enumeration DateOctober 16, 2006
Last NPPES UpdateAugust 14, 2013
✔ NPI 1861572968 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.
700 OLYMPIC PLAZA CIR STE 700, Tyler, TX 75701
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Other Identifiers 3

Medicare PIN00L23VTX
Medicare PINCR0481TX
Medicaid112852203TX

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 5

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

STEVEN LOMAX MD
Urology
700 OLYMPIC PLAZA CIR STE 700
TYLER, TX 75701
Smith County (903) 262-3900
DR. CLARK ALEXANDER WILSON MD
Urology
700 OLYMPIC PLAZA CIR STE 700
TYLER, TX 75701
Smith County (032) 623-9009
PAOLA MWENENTANDA NP
Nurse Practitioner
700 OLYMPIC PLAZA CIR STE 700
TYLER, TX 75701
Smith County (903) 262-3900
SAMANTHA P DENTON PA-C
Physician Assistant
700 OLYMPIC PLAZA CIR STE 700
TYLER, TX 75701
Smith County (903) 262-3900
KIRSTEN PERRICONE APRN
Nurse Practitioner (Family)
700 OLYMPIC PLAZA CIR STE 700
TYLER, TX 75701
Smith County (903) 262-3900

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 Urology Tyler, PA's NPI number?

The NPI number for Urology Tyler, PA is 1861572968. It was assigned to this organization in the NPPES registry on October 16, 2006.

Where is Urology Tyler, PA located?

Urology Tyler, PA is located at 700 Olympic Plaza Cir Ste 700, Tyler, TX 75701. The listed phone number is (903) 262-3900.

What is Urology Tyler, PA'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 Urology Tyler, PA was last updated on August 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.