Active NPI
Urology Central PC
- Urology Physician
- Leominster, MA
National Provider Identifier
1972977882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 212873
- Legal business name
- UROLOGY CENTRAL PC
- Practice address
- 50 Memorial Dr
Suite 108
Leominster, MA 01453-2238 - Phone
- (978) 466-2280
- NPI assigned
- Nov 17, 2015
- 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. Ronald G Ebb, MD
- Title
- Owner/Physician
- Phone
- (978) 466-2280
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 212873 | MA | Primary |
Addresses
Primary practice location
50 Memorial Dr
Suite 108
Leominster, MA 01453-2238
Mailing address
50 Memorial Dr
Suite 108
Leominster, MA 01453-2238
Phone (978) 466-2280
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002695 | Other | MA | GRP MEDICARE |
| M19406 | Other | MA | BLUE SHIELD GRP |
National Provider Directory
National Provider Directory- Tax ID family
- Urology Central
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Urology Physician
- Leominster, MA
- NPI 1942373691
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Leominster, MA
- NPI 1851333546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447718400000",
"number": "1972977882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 MEMORIAL DR",
"address_2": "SUITE 108",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014532238",
"telephone_number": "978-466-2280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 MEMORIAL DR",
"address_2": "SUITE 108",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014532238",
"telephone_number": "978-466-2280"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROLOGY CENTRAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-17",
"last_updated": "2015-11-17",
"status": "A",
"authorized_official_last_name": "EBB",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "978-466-2280",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "MA",
"license": "212873",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GRP MEDICARE",
"identifier": "0002695",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD GRP",
"identifier": "M19406",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Leominster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.