Organization Active NPI

Urology Associates of Norwalk,PC

  • Specialist
  • Norwalk, CT
National Provider Identifier
1144429739
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
UROLOGY ASSOCIATES OF NORWALK,PC
Practice address
12 Elmcrest Ter
Norwalk, CT 06850-3937
Phone
(203) 853-4200
Fax
(203) 299-1938
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Dr. Dennis E Shield, M.D.
Title
President
Phone
(203) 853-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

12 Elmcrest Ter
Norwalk, CT 06850-3937

Mailing address

12 Elmcrest Ter
Norwalk, CT 06850-3937
Phone (203) 853-4200

Other identifiers 1

IdentifierTypeStateIssuer
004000816MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060404000240 CT Part B Supplier - Clinic/Group Practice 0547278491 Receives reassigned benefits from 5 practitioners
Practice locations: Norwalk, CT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
07D0101582Urology Associates of Norwalk, PC12 Elmcrest Ter, Norwalk, CT 06850Provider-performed microscopyDec 31, 2027

National Provider Directory

National Provider Directory

Locations

5200 Blue Lagoon Dr
Ste 900
Miami, FL 33126

Practitioners & affiliated clinicians

Practitioners 5

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": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1144429739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ELMCREST TER",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503937",
            "telephone_number": "203-853-4200",
            "fax_number": "203-299-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ELMCREST TER",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503937",
            "telephone_number": "203-853-4200",
            "fax_number": "203-299-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY ASSOCIATES OF NORWALK,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "SHIELD",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-853-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004000816",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.