University Urological Associates, Inc.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

PHS00006 Issued in RI

Legal business name

UNIVERSITY UROLOGICAL ASSOCIATES, INC.

Practice address

195 Collyer St
Suite 201
Providence, RI 02904-1869

Phone

(401) 276-2026

Fax

(401) 276-2025

NPI assigned

Apr 17, 2007

Last updated

Sep 18, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

UNIVERSTIY UROLOGICAL ASSOCIATES, INC.As reported in NPPES

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

Authorized official

Name

Ms. Michelle R Deroche

Title

Practice Administrator

Phone

(401) 276-2001

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Collyer Street Operatory Other name

Part of

University Urological Associates Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Universtiy Urological Associates, Inc.

  • Urology Physician
  • Bristol, RI
  • NPI 1427228113
  NPPES parent name

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1336365873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 COLLYER STREET",
            "address_2": "SUITE 201",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02904",
            "telephone_number": "401-276-2026",
            "fax_number": "401-276-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 COLLYER ST",
            "address_2": "SUITE 201",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041869",
            "telephone_number": "401-276-2026",
            "fax_number": "401-276-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY UROLOGICAL ASSOCIATES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSTIY UROLOGICAL ASSOCIATES, INC.",
        "enumeration_date": "2007-04-17",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "DEROCHE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "401-276-2001",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "RI",
            "license": "PHS00006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000005723",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collyer Street Operatory",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• University Pediatrics Dba Children's Medical Group
• University Pediatrics, Inc (Children's Medical Group)
• University Plastic Surgeons Inc (University Plastic Surgery Associates Inc)
• University Shuttle LLC
• University Surgical Associates, Inc. (Brown Surgical Associates)
• University Urological Associates, Inc.
• University Urological Associates, Inc.
• Tamlin Unruh, PA-C
• Uplift Behavioral Health Services LLC
• Muhammad Saad Uppal

• Urology Physician in Providence, RI
• Providers in Providence, RI by specialty
• Urology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; 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.