Organization Active NPI

Thames Urology Center, LLC

  • Urology Physician
  • New London, CT
National Provider Identifier
1902839038
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
THAMES UROLOGY CENTER, LLC
Practice address
3 Shaw's Cove
Suite 206
New London, CT 06320
Phone
(860) 443-0622
Fax
(860) 443-5531
NPI assigned
Jul 9, 2006
Last updated
Feb 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Authorized official

Name
Michelle S Woods
Title
Practice Manager
Phone
(860) 443-0622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X Primary

Addresses

Primary practice location

3 Shaw's Cove
Suite 206
New London, CT 06320

Mailing address

3 Shaw's Cove
Suite 206
New London, CT 06320
Phone (860) 443-0622

Other identifiers 1

IdentifierTypeStateIssuer
C02905OtherFIRST COAST SERV. OPTIONS MEDICARE PART B GOUP ID

National Provider Directory

National Provider Directory

Locations

3 Shaws Cv
Ste 206
New London, CT 06320
Phone (860) 443-0622

Practitioners & affiliated clinicians

Practitioners 1

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": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1902839038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SHAW'S COVE",
            "address_2": "SUITE 206",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "06320",
            "telephone_number": "860-443-0622",
            "fax_number": "860-443-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 SHAW'S COVE",
            "address_2": "SUITE 206",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "06320",
            "telephone_number": "860-443-0622",
            "fax_number": "860-443-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAMES UROLOGY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "860-443-0622"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST COAST SERV. OPTIONS MEDICARE PART B GOUP ID",
            "identifier": "C02905",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.