Tri-Lakes Urology, Inc in Branson - Urology
Tri-Lakes Urology, Inc - NPI 1942472675
Tri-Lakes Urology, Inc is a Urology in Branson, Missouri. Tri-Lakes Urology, Inc practices all healthcare services and medical treatments related to Urology. The NPI Number for Tri-Lakes Urology, Inc is 1942472675. The last update date is 2010-11-18.
Tri-Lakes Urology, Inc's current location address is 545 Branson Landing Blvd, Branson, Missouri. You can contact this provider via phone number 4173357736 and fax number 4173343038. The mailing address for Tri-Lakes Urology, Inc is 545 Branson Landing Blvd, Branson, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tri-Lakes Urology, Inc |
|---|---|
| Address | 545 Branson Landing Blvd, Branson, Missouri |
| Phone Number | 4173357736 |
| Fax Number | 4173343038 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Givens Samuel Jerry |
| Credentials | M.D. |
| Telephone Number | 4173357736 |
NPI Number Detail
| NPI Number | 1942472675 |
|---|---|
| Provider Enumeration Date | 2008-04-02 |
| Last Updated Date | 2010-11-18 |
Provider Mailing Address Detail
| Address | 545 Branson Landing Blvd |
|---|---|
| City | Branson |
| State | Missouri (MO) |
| Post Code | 656164500 |
| Phone Number | 4173357736 |
| Fax Number | 4173343038 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | MDR9B09 |
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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 acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1089490001 | MO | RAILROAD MEDICARE | |
| 14360 | MO | BLUE SHIELD | |
| 152379001 | AR | -- | |
| 202355806 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Tri-Lakes Urology, Inc by the Centers for Medicare & Medicaid Services?
The Tri-Lakes Urology, Inc has been assigned the NPI (National Provider Identifier) 1942472675. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Tri-Lakes Urology, Inc's physical address?
The Tri-Lakes Urology, Inc is physically located at 545 Branson Landing Blvd, in the city of Branson, MO, with the postal code 656164500.
What is the Tri-Lakes Urology, Inc's area of specialization and corresponding taxonomy classification?
The Tri-Lakes Urology, Inc's specialty field is Urology, and it falls under the taxonomy code 208800000X, which categorizes healthcare providers based on their specialties.
When did the Tri-Lakes Urology, Inc receive its 1942472675?
The Tri-Lakes Urology, Inc was issued its 1942472675 on 2008-04-02, which is the date when the organization was assigned this unique identifier.
As of what date were the Tri-Lakes Urology, Inc's details last updated?
The information pertaining to the Tri-Lakes Urology, Inc, including its address, specialty, and other details, was most recently updated on 2010-11-18.