Active NPI
Wooster Urology LLC
- Urology Physician
- Wooster, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 57530
- 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
- Last updated
- Feb 16, 2012
- 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
- Dr. Paul J Crowley, M.D.
- Title
- Managing Partner
- Phone
- (330) 345-5533
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 57530 | OH | Primary |
| Urology Physician | 208800000X | 35-090639 | OH | |
| Pediatric Urology Physician | 2088P0231X | 57530 | OH | |
| Pediatric Urology Physician | 2088P0231X | 35-090639 | OH |
Addresses
Primary practice location
546 Winter St
Suite 210
Wooster, OH 44691-2300
Mailing address
546 Winter St
Suite 210
Wooster, OH 44691-2300
Phone (330) 345-5533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
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 |
|---|---|---|---|
| 36D0716145 | Wooster Urology LLC | Certificate of waiver | Dec 19, 2026 |
National Provider Directory
National Provider DirectoryLocations
546 Winter St
Ste 210
Wooster, OH 44691
Phone (330) 202-5580
Interoperability endpoints
- juanproano@woosteruro.medalliesdirect.net
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Nurse Practitioner
- Massillon, OH
- NPI 1407569510
-
- Urology Physician
- Wooster, OH
- NPI 1245485374
-
- Urology Physician
- Wooster, OH
- NPI 1649346370
-
- Pain Medicine (Anesthesiology) Physician
- Lorain, OH
- NPI 1013092147
-
- Pain Medicine (Anesthesiology) Physician
- Wooster, OH
- NPI 1861457509
-
- Interventional Pain Medicine Physician
- Wooster, OH
- NPI 1073002077
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": []
}
Other providers in Wooster, OH
Sources for this page
- 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.