Organization Active NPI

Urology Consultants of NS

  • Urology Physician
  • Salem, MA
National Provider Identifier
1194784983
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UROLOGY CONSULTANTS OF NS
Practice address
400 Highland Ave
Suite 6
Salem, MA 01970-7003
Phone
(978) 741-4133
Fax
(978) 741-7742
NPI assigned
Mar 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Authorized official

Name
Mr. Michael G Callum Jr., MD
Title
President
Phone
(978) 741-4133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

400 Highland Ave
Suite 6
Salem, MA 01970-7003

Mailing address

400 Highland Ave
Suite 6
Salem, MA 01970-7003
Phone (978) 741-4133

Other identifiers 1

IdentifierTypeStateIssuer
9736409MedicaidMA

National Provider Directory

National Provider Directory

Locations

1 Wallace Bashaw Way
Ste 3003
Newburyport, MA 01950
Phone (978) 977-1400

Interoperability endpoints

  • Direct secure messaging: kingston.thomas.ucns@direct.partners.masshiway.net
  • Direct secure messaging: ladner.mandy.ucns@direct.partners.masshiway.net
  • Direct secure messaging: small.jeffrey.ucns@direct.partners.masshiway.net
  • Direct secure messaging: kearney.michael.ucns@direct.partners.masshiway.net
  • Direct secure messaging: laspina.mark.ucns@direct.partners.masshiway.net
  • Direct secure messaging: filoso.anthony.ucns@direct.partners.masshiway.net

Practitioners & affiliated clinicians

Practitioners 1

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": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227571200000",
    "number": "1194784983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HIGHLAND AVE",
            "address_2": "SUITE 6",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019707003",
            "telephone_number": "978-741-4133",
            "fax_number": "978-741-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HIGHLAND AVE",
            "address_2": "SUITE 6",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019707003",
            "telephone_number": "978-741-4133",
            "fax_number": "978-741-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY CONSULTANTS OF NS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2008-11-25",
        "status": "A",
        "authorized_official_last_name": "CALLUM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-741-4133",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9736409",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.