Organization Active NPI

Southwest Urologic Specialists, PC

  • Urology Physician
  • Gilbert, AZ
National Provider Identifier
1134319981
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
SOUTHWEST UROLOGIC SPECIALISTS, PC
Practice address
6007 E. Baseline Road
#105
Gilbert, AZ 85234-5044
Phone
(480) 892-3059
NPI assigned
Jul 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Authorized official

Name
Dr. Joseph H Worischeck Jr., MDNPI 1902870173
Title
Urologist
Phone
(480) 892-3059

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

6007 E. Baseline Road
#105
Gilbert, AZ 85234-5044

Mailing address

6007 E Baseline Rd
#105
Mesa, AZ 85206-4801
Phone (480) 892-3059

Other identifiers 3

IdentifierTypeStateIssuer
1099953OtherAZUNITED HEALTH CARE
0172120OtherAZBLUE CROSS BLUE SHIELD
108664MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040428000580 AZ Part B Supplier - Clinic/Group Practice 9739176165 Receives reassigned benefits from 4 practitioners
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Locations

6567 E Carondelet Dr
Ste 425
Tucson, AZ 85710
Phone (520) 296-9446

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEFBCA

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1134319981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6007 E BASELINE RD",
            "address_2": "#105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064801",
            "telephone_number": "480-892-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6007 E. BASELINE ROAD",
            "address_2": "#105",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852345044",
            "telephone_number": "480-892-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST UROLOGIC SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "WORISCHECK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "UROLOGIST",
        "authorized_official_telephone_number": "480-892-3059",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "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": "UNITED HEALTH CARE",
            "identifier": "1099953",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0172120",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108664",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.