Center for Mens and Womens Urology LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CENTER FOR MENS AND WOMENS UROLOGY LLC

Practice address

24076 SE Stark St
Suite 310
Gresham, OR 97030-3373

Phone

(503) 492-6510

Fax

(503) 492-6502

NPI assigned

Nov 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shammai Rockove, M.D.

Title

Medical Driector

Phone

(503) 492-6510

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donna Fay Holden, PA-C

  • Physician Assistant
  • Portland, OR
  • NPI 1225275092
  NPD (past)
• Cheryl A Springer, PHD PAC

  • Surgical Physician Assistant
  • Gresham, OR
  • NPI 1881687945
  NPD (past)
• Kent C Toland, M.D.

  • Urology Physician
  • Gresham, OR
  • NPI 1255381455
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1013197987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24076 SE STARK ST",
            "address_2": "SUITE 310",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303373",
            "telephone_number": "503-492-6510",
            "fax_number": "503-492-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24076 SE STARK ST",
            "address_2": "SUITE 310",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303373",
            "telephone_number": "503-492-6510",
            "fax_number": "503-492-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR MENS AND WOMENS UROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "ROCKOVE",
        "authorized_official_first_name": "SHAMMAI",
        "authorized_official_title_or_position": "MEDICAL DRIECTOR",
        "authorized_official_telephone_number": "503-492-6510",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilyanne Corinne Caswell
• Michele Lynn Cates, LMT
• Catherine Jones Counseling LLC
• Kiasha Causey
• Kevin D Cazeault, OTR/L
• Center of Hope Counseling Services LLC
• Linda Marie Centurion
• Andrew Cha, DC
• Laarnie Dante Chaco, PHYSICIAN ASSISTANT
• Philip Chadwick, MD

• Specialist in Gresham, OR
• Providers in Gresham, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.