Active NPI
Paul Allan Church, M.D.
- Urology Physician
- Needham, MA
National Provider Identifier
1942257670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 57851
- Practice address
- 100 West St
Needham, MA 02494-1319 - Phone
- (781) 433-2110
- Fax
- (781) 433-2117
- NPI assigned
- May 28, 2006
- Last updated
- Apr 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 57851 | MA | Primary |
Addresses
Primary practice location
100 West St
Needham, MA 02494-1319
Mailing address
38 Oak Hill Rd
Wayland, MA 01778-2918
Phone (781) 433-2110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Practice Associates, Inc. | Urology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334102400000",
"number": "1942257670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 OAK HILL RD",
"city": "WAYLAND",
"state": "MA",
"postal_code": "017782918",
"telephone_number": "781-433-2110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WEST ST",
"city": "NEEDHAM",
"state": "MA",
"postal_code": "024941319",
"telephone_number": "781-433-2110",
"fax_number": "781-433-2117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHURCH",
"first_name": "PAUL ALLAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2012-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MA",
"license": "57851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Needham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.