OrganizationActive
Childrens Urology Group Pl
NPI 1194836239 · Pediatric Urology Physician · Tampa, FL
Provider details
- NPI number
- 1194836239
- Entity type
- Organization
- Primary specialty
- Pediatric Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Theresa Kollner, Credentialing Coordinator(813) 874-7500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4712 N Armenia Ave
Suite 200
Tampa, FL 33603-2611
Phone: (813) 874-7500
Fax: (813) 877-1397
Street-level locationGet directions
Mailing address
4712 N Armenia Ave
Tampa, FL 33603-2611
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2015-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.