Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Urologic Surgical Associates

Organization Specialist · NPI 1649487083

Urologic Surgical Associates is a Specialist in Charleston, West Virginia. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

11 Courtney Dr
Charleston, WV 25304-2699
Phone: (304) 925-8521
Fax: (304) 925-8523
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1649487083
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Light — Office Administrator · (304) 925-8521
NPI enumeratedMay 16, 2007
Last updated in NPPESAugust 22, 2020
Mailing address11 Courtney Dr, Charleston, WV 25304-2699

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