Wooster Urology LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

57530 Issued in OH

Legal business name

WOOSTER UROLOGY LLC

Practice address

546 Winter St
Suite 210
Wooster, OH 44691-2300

Phone

(330) 345-5533

Fax

(330) 345-7659

NPI assigned

Jul 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Paul J Crowley, M.D.

Title

Managing Partner

Phone

(330) 345-5533

Specialties & licenses 4

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: juanproano@woosteruro.medalliesdirect.net

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristen Marie Fielding, CNP

  • Nurse Practitioner
  • Massillon, OH
  • NPI 1407569510
  Medicare reassignment Care Compare group NPD
• Juan Miguel Proano, M.D.

  • Urology Physician
  • Wooster, OH
  • NPI 1245485374
  Medicare reassignment Care Compare group NPD
• Sameh R Yonan, MD

  • Pain Medicine (Anesthesiology) Physician
  • Lorain, OH
  • NPI 1013092147
  NPD
• Ayman H Basali, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Wooster, OH
  • NPI 1861457509
  NPD (past)
• Nicholas Prayson

  • Interventional Pain Medicine Physician
  • Wooster, OH
  • NPI 1073002077
  NPD (past)

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1710274097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 WINTER ST",
            "address_2": "SUITE 210",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912300",
            "telephone_number": "330-345-5533",
            "fax_number": "330-345-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 WINTER ST",
            "address_2": "SUITE 210",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912300",
            "telephone_number": "330-345-5533",
            "fax_number": "330-345-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOSTER UROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "CROWLEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "330-345-5533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology",
            "state": "OH",
            "license": "57530",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology",
            "state": "OH",
            "license": "35-090639",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology, Pediatric Urology",
            "state": "OH",
            "license": "57530",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology, Pediatric Urology",
            "state": "OH",
            "license": "35-090639",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2995497",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0624801",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "4266321",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0714954",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wooster Orthopaedics Therapy
• Wooster Pain and Anesthesia Center LLC
• Wooster Pharmacy LLC
• Wooster SNF Opco LLC
• Wooster Transit LLC
• Angela Workman, LISW
• Kendra Mae Workman
• Bradley David Wright
• Emily Grace Wright, TBS/QBHS
• Lynette Wright, BASW, LSW

• Urology Physician in Wooster, OH
• Providers in Wooster, OH by specialty
• Urology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.

Verify at the official NPI Registry.