Northwoods Urology Association

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NORTHWOODS UROLOGY ASSOCIATION

Practice address

135 Vision Park Blvd
Shenandoah, TX 77384-3001

Phone

(281) 404-3000

Fax

(936) 273-5628

NPI assigned

Sep 27, 2006

Last updated

Jul 18, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Paul Kenworthy, M.D.NPI 1295795698

Title

M.D.

Phone

(281) 404-3000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Northwoods Urology Associates Other name

Locations

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.

• Paul Richard Kenworthy, MD

  • Urology Physician
  • Huntsville, TX
  • NPI 1295795698
  NPD (past) Authorized official
• Clyde Leland Corey, M.D.

  • Urology Physician
  • Tomball, TX
  • NPI 1942288394
  NPD (past)
• Drew Aric Dylewski, M.D.

  • Urology Physician
  • The Woodlands, TX
  • NPI 1962506055
  NPD (past)
• Matthew M Hogan, MD

  • Urology Physician
  • Tomball, TX
  • NPI 1447210208
  NPD (past)
• Karen Lee Mackenney, RN, FNP

  • Family Nurse Practitioner
  • Shenandoah, TX
  • NPI 1003014366
  NPD (past)
• Adriana Olivares, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Hurst, TX
  • NPI 1750385142
  NPD (past)
• Liliana Woo, MD

  • Urology Physician
  • Tomball, TX
  • NPI 1497715171
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1396836359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4959",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77210",
            "telephone_number": "281-404-3000",
            "fax_number": "936-273-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 VISION PARK BLVD",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843001",
            "telephone_number": "281-404-3000",
            "fax_number": "936-273-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOODS UROLOGY ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "KENWORTHY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "281-404-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083481402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwoods Urology Associates",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Specialist in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.