CHAMPION UROLOGY LTD (NPI# 1013925965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013925965 |
| Entity Type | Organization |
| Organization Name | CHAMPION UROLOGY LTD |
| Practice Address |
35 Wells Street Westerly RI 02891 |
| Mailing Address |
35 Wells St Westerly RI 02891-2922 |
| Practice Telephone | 4015960964 |
| Practice Fax Number | 4015968634 |
| Mailing Telephone | 4015960964 |
| Mailing Fax Number | 4015968634 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2008-04-25 |
| Authorized Official Name | MRS. CONSTANCE LIN LUTZEL (OFFICE MANAGER) |
| Authorized Official Telephone | 4015960964 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | 10831 | RI | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 040289 | CT | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 7511 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 003114204 | 05 | |
| RI | CU43922 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | CHAMPION UROLOGY LTD. | 35 Wells Street, Westerly, RI 02891 |
| Street Address |
35 WELLS STREET |
| City | WESTERLY |
| State | RI |
| Zip Code | 02891 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790815157 | Job L Sandoval | Internal Medicine | 35 Wells Street, Westerly, RI 02891 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841741931 | Orthopedics Rhode Island, Inc | Orthopaedic Surgery | 268 Post Road, Westerly, RI 02891 | 2016-10-24 |
| 1235554072 | Ocean State Urgent Care Center of Westerly, LLC | Clinic/Center | 77 Franklin Street, Westerly, RI 02891 | 2014-03-04 |
| 1972843530 | Christine Elizabeth Mcauliffe | Psychologist | 93 Tower Street, Westerly, RI 02891 | 2013-02-19 |
| 1902156631 | Gustave Polzer Brucker Iv | Physical Therapist | 33 Pearl Street, Westerly, RI 02891 | 2012-09-10 |
| 1194964098 | Katherine Anne Chesson | Social Worker | 16 High St Ste 6, Westerly, RI 02891 | 2009-02-17 |
| 1679758114 | Rhode Island Cvs Pharmacy,l.l.c. | Durable Medical Equipment & Medical Supplies | 151 Franklin St., Westerly, RI 02891 | 2008-01-03 |
| 1316060346 | Glen Edward Foden | Dentist | 13 Grove Avenue, Westerly, RI 02891 | 2007-04-06 |
| 1144344888 | Town of Westerly | Local Education Agency (LEA) | 15 Highland Avenue, Westerly, RI 02891 | 2007-03-19 |
| 1144365644 | Babcock Village Apartments | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 Cross Street, Westerly, RI 02891 | 2007-02-21 |
| 1477698298 | Monica Lee Bailey | Counselor | 28 Wells Street, Westerly, RI 02891 | 2007-02-20 |
| Find all providers in zip 02891 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124014048 | Franklin Fraser Leddy | Urology | 35 Wells St, Westerly, RI 02891-2922 | 2005-09-26 |
| 1336133925 | Tobias Mark Goodman | Urology | 41 East Ave, Westerly, RI 02891-3113 | 2005-09-09 |
| 1720261480 | Westerly Urology | Urology | 41 East Ave, Westerly, RI 02891-3113 | 2007-12-17 |
| 1619963535 | Erik Gunnar Enquist | Urology | 35 Wells St, Westerly, RI 02891-2922 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336658145 | Brown Urology, Inc. | Urology | 195 Collyer St Ste 104, Providence, RI 02904-1869 | 2017-09-25 |
| 1891135356 | Naeem M. Siddiqi | Urology | 12 Georgiana Dr, Cumberland, RI 02864-1106 | 2013-06-28 |
| 1508126590 | Atip Chatsudthipong | Urology | 207 Quaker Ln Fl 1, West Warwick, RI 02893-2179 | 2012-05-23 |
| 1144464587 | John F Maynard | Urology | Metacomet Office Park, 450 Veterans Parkway, East Providence, RI 02914 | 2009-04-29 |
| 1407001373 | Urologic Specialists of New England, LLC | Urology | 869 Post Rd, Warwick, RI 02888-3360 | 2008-11-19 |
| 1104075084 | Bruce Nadjmi | Urology | 5 Christopher Drive, Lincoln, RI 02865-4946 | 2008-09-16 |
| 1861652349 | Liza M. Aguiar | Urology | 195 Collyer St 201, Providence, RI 02904-1869 | 2008-06-10 |
| 1528227204 | Thomas Grimmett Breslin | Urology | 7 Dana Rd, Bristol, RI 02809-1401 | 2008-06-06 |
| 1407026479 | Samuel Hamilton Eaton | Urology | 23 Powel Ave Apt 3, Newport, RI 02840-2679 | 2008-03-06 |
| 1982823209 | Lawrence F Audino | Urology | 284 Sea Meadow Dr, Portsmouth, RI 02871-3926 | 2007-04-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.