Pediatric Urology Associates, Ltd.

Urology in Phoenix, AZ. Organization (NPI-2).

NPI number1154301166

StatusActive

Last updated in NPPESAug 22, 2020

Details

NPI: 1154301166
Entity type: Organization (NPI-2)
Legal business name: Pediatric Urology Associates, Ltd.
Organization subpart: No
Enumeration date: Jan 18, 2006
Last updated: Aug 22, 2020

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208800000X	Urology	–	–	Yes

Practice location

1920 E Cambridge Ave
Suite 302
Phoenix, AZ 85006-1459

Phone 602-279-1697 · Fax 602-264-0461

Mailing address

1920 E Cambridge Ave
Suite 302
Phoenix, AZ 85006-1459

Phone 602-279-1697 · Fax 602-264-0461

Authorized official

Robert B. Bailey
President
6022791697

Is something wrong?

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