Provider Demographics
NPI:1700810397
Name:UROLOGICAL ASSOCIATES, LTD
Entity type:Organization
Organization Name:UROLOGICAL ASSOCIATES, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:BYRON
Authorized Official - Last Name:OSBORNE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:434-295-0184
Mailing Address - Street 1:155 RIVERBEND DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-8607
Mailing Address - Country:US
Mailing Address - Phone:434-295-0184
Mailing Address - Fax:434-295-2463
Practice Address - Street 1:155 RIVERBEND DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-8607
Practice Address - Country:US
Practice Address - Phone:434-295-0184
Practice Address - Fax:434-295-2463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA062065OtherANTHEM BC/BS
0360590001OtherDMERC
VA062065OtherANTHEM BC/BS
C00323Medicare PIN
=========OtherEIN