Organization Active NPI

Wooster Urology LLC

  • Urology Physician
  • Wooster, OH
National Provider Identifier
1710274097
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
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
Last updated
Feb 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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.NPI 1649346370
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)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208800000X 57530 OH Primary
Urology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208800000X 35-090639 OH
Pediatric Urology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2088P0231X 57530 OH
Pediatric Urology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20120514000182 OH Part B Supplier - Clinic/Group Practice 8527221472 Receives reassigned benefits from 2 practitioners
Practice locations: Wooster, OH

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0716145Wooster Urology LLC546 Winter Street Suite 210, Wooster, OH 44691Certificate of waiverDec 19, 2026

National Provider Directory

National Provider Directory

Locations

546 Winter St
Ste 210
Wooster, OH 44691
Phone (330) 202-5580

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.