Active NPI
Thames Urology Center, LLC
- Urology Physician
- New London, CT
National Provider Identifier
1902839038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- 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, 2010
- 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
- Michelle S Woods
- Title
- Practice Manager
- Phone
- (860) 443-0622
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C02905 | Other | FIRST COAST SERV. OPTIONS MEDICARE PART B GOUP ID |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Urology Physician
- Madison, CT
- NPI 1477551034
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.