Upper Cumberland Urology Associates PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

UPPER CUMBERLAND UROLOGY ASSOCIATES PC

Practice address

320 N Oak Ave
Cookeville, TN 38501-2440

Phone

(931) 528-5547

Fax

(931) 526-2699

NPI assigned

Mar 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stephen V Goryl, MD

Title

President/Physician Owner

Phone

(931) 528-5547

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3154/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Charles T Womack III, MD

  • Urology Physician
  • Cookeville, TN
  • NPI 1518950260

  Urology

  NPD

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1023078649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N OAK AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012440",
            "telephone_number": "931-528-5547",
            "fax_number": "931-526-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N OAK AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012440",
            "telephone_number": "931-528-5547",
            "fax_number": "931-526-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER CUMBERLAND UROLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "GORYL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN OWNER",
        "authorized_official_telephone_number": "931-528-5547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2008612",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3378641",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Upper Cumberland Rural Health Clinic PLLC
• Upper Cumberland Rural Health Clinic PLLC
• Upper Cumberland Rural Health Clinic PLLC
• Upper Cumberland Rural Health LLC
• Upper Cumberland Surgical Associate
• Luis R Urbina, M.D.
• Utfullcircle, LLC.
• Idowu Osaretin Uzzi, M.D., MPH
• Gina Vaccaro, M.D.
• James L. Vaden, DDS, MS

• Urology Physician in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Urology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.