Organization Active NPI

University Urological Associates, Inc.

  • Urology Physician
  • Providence, RI
National Provider Identifier
1659463230
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UNIVERSITY UROLOGICAL ASSOCIATES, INC.
Practice address
195 Collyer St
Suite 201
Providence, RI 02904-1869
Phone
(401) 272-7799
Fax
(401) 272-9299
NPI assigned
Sep 29, 2006
Last updated
Nov 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Authorized official

Name
Tom F Hall
Title
Practice Administrator
Phone
(401) 276-2001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X
Urology Physician 208800000X Primary

Addresses

Primary practice location

195 Collyer St
Suite 201
Providence, RI 02904-1869

Mailing address

195 Collyer St
Suite 201
Providence, RI 02904-1869
Phone (401) 272-7799

Other identifiers 1

IdentifierTypeStateIssuer
UU04337MedicaidRI

National Provider Directory

National Provider Directory

Locations

195 Collyer St
#6750
Providence, RI 02904

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1659463230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 COLLYER ST",
            "address_2": "SUITE 201",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029041869",
            "telephone_number": "401-272-7799",
            "fax_number": "401-272-9299"
        },
        {
            "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": "401-272-7799",
            "fax_number": "401-272-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY UROLOGICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "401-276-2001"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "UU04337",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; 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.