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WOOSTER UROLOGY LLC NPI 1710274097


NPI Information

NPI: 1710274097
Provider Name: WOOSTER UROLOGY LLC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 36D0716145

Address:
546 WINTER ST
SUITE 210
WOOSTER, OH
ZIP 44691
Phone: (330) 345-5533
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WOOSTER UROLOGY LLC is an urology in Wooster, OH. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. WOOSTER UROLOGY LLC NPI is 1710274097. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

546 WINTER ST
SUITE 210
WOOSTER, OH
ZIP 44691-300
Phone: (330) 345-5533
Fax: (330) 345-7659

The provider's authorized official is Paul J Crowley .
The authorized official title is Managing Partner and has the following contact phone number (330) 345-5533.

The CLIA number assigned to this NPI record is 36D0716145 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2011 and was last updated on 2/16/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology35-090639OHIONo
22088P0231XUrologyPediatric Urology57530OHIONo
32088P0231XUrologyPediatric Urology35-090639OHIONo
4208800000XUrology57530OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10714954MEDICAIDOHIO
22995497MEDICAIDOHIO
30624801OTHERMEDICARE PTAN
44266321OTHERMEDICARE PTAN
5C51967MEDICARE UPINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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