Active NPI
Worcester Urological Associates Inc
- Urology Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- WORCESTER UROLOGICAL ASSOCIATES INC
- Practice address
- 25 Oak Avenue
Worcester, MA 01605 - Phone
- (508) 756-6293
- Fax
- (508) 756-9404
- NPI assigned
- Jul 26, 2005
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael R Wollin, MD
- Title
- President
- Phone
- (508) 756-6293
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MA | ||
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
25 Oak Avenue
Worcester, MA 01605
Mailing address
25 Oak Avenue
Worcester, MA 01605
Phone (508) 756-6293
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9701087 | Medicaid | MA | |
| 81612175 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D0069788 | Worcester Urological Associates | Provider-performed microscopy | Jun 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
25 Oak Ave
Ste 2
Worcester, MA 01605
Phone (508) 756-6293
Interoperability endpoints
- michaelwollin@wua.medalliesdirect.net
- philipayvazian@wua.medalliesdirect.net
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Urology Physician
- Worcester, MA
- NPI 1750381836
-
- Urology Physician
- Worcester, MA
- NPI 1487654984
-
- Nurse Practitioner
- Worcester, MA
- NPI 1629357900
-
- Urology Physician
- Worcester, MA
- NPI 1114927613
-
- Cytopathology Physician
- Winchester, MA
- NPI 1114916731
-
- Cytopathology Physician
- Winchester, MA
- NPI 1982693594
-
- Cytopathology Physician
- Winchester, MA
- NPI 1376532754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1285634782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 OAK AVENUE",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01605",
"telephone_number": "508-756-6293",
"fax_number": "508-756-9404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 OAK AVENUE",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01605",
"telephone_number": "508-756-6293",
"fax_number": "508-756-9404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WORCESTER UROLOGICAL ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-26",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "WOLLIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "508-756-6293",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MA",
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9701087",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "81612175",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
- Worcester Refugee and Immigrant Support and Empowerment Rise for Health (Worcester RISE for Health)
- Worcester Rehab SNF Operations, LLC (Worcester Rehabilitation & Health Care Center)
- Worcester Smile Studio PLLC
- Worcester Smiles Youth Dentistry, LLC
- Worcester Smiles Youth Dentistry, LLC (Straight Smiles of Worcester)
- Jonathan Alan Worcester, PH.D., NCSP, BCBA-D
- Sylvia Worrell, DO
- Cynthia A Worthington
- Angela S Wozniak
- Wpi Health & Wellness Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.