MEDICARE: EXECUTIVE UROLOGY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CG9157	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649594318
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXECUTIVE UROLOGY

Provider Business Mailing Address
First Line	:	2800 HAYES AVE
Second Line	:	BLDG D
City	:	SANDUSKY
State	:	OH
Zip	:	44870-7248
Country	:	US
Telephone Number	:	419-627-8771
Fax Number	:

Provider Business Practice Location Address
First Line	:	290 PROGRESS DR
Second Line	:	SUITE C
City	:	BELLEVUE
State	:	OH
Zip	:	44811-9099
Country	:	US
Telephone Number	:	419-484-1701
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROBERT W RICE
Credential	:	MD
Telephone Number	:	419-627-8771

Provider Enumeration Date	:	03/24/2010
Last Update Date	:	03/24/2010

Similar Medicare Providers

1225031420 — DR. DAVID CLARK GIRVIN D.O.
Practice Location Address:

290 PROGRESS DR , SUITE D
BELLEVUE, OH
44811-9099

Practice Phone: 419-483-4722
Practice Fax: 419-483-3483

1316931942 — WILLIAM R BAUER MD, PHD
Practice Location Address:

5433 STATE ROUTE 113
BELLEVUE, OH
44811-9708

Practice Phone: 419-483-2403
Practice Fax: 419-483-8418

1710971247 — ALBERT J SANGREGORY LISW
Practice Location Address:

1110 CASTALIA ST , STE B
BELLEVUE, OH
44811-1181

Practice Phone: 419-483-6086
Practice Fax: 419-483-3125

1902881873 — DR. AARON GRAVES NICELY D.C.
Practice Location Address:

1110 CASTALIA ST , SUITE G
BELLEVUE, OH
44811-1181

Practice Phone: 419-484-9070
Practice Fax: 419-484-9070

1649256470 — DR. ROBERT E STORM DDS
Practice Location Address:

142 KILBOURNE ST
BELLEVUE, OH
44811-1322

Practice Phone: 419-483-4020
Practice Fax:

1649250770 — DR. STEVEN R ZIEBER MD
Practice Location Address:

1400 W MAIN ST
BELLEVUE, OH
44811-9088

Practice Phone: 419-483-4040
Practice Fax:

Directions to “EXECUTIVE UROLOGY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.