UPPER CUMBERLAND UROLOGY ASSOCIATES PC (NPI# 1023078649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023078649 |
| Entity Type | Organization |
| Organization Name | UPPER CUMBERLAND UROLOGY ASSOCIATES PC |
| Practice Address |
320 N Oak Ave Cookeville TN 38501-2440 |
| Practice Telephone | 9315285547 |
| Practice Fax Number | 9315262699 |
| Mailing Telephone | 9315285547 |
| Mailing Fax Number | 9315262699 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2008-04-30 |
| Authorized Official Name | DR. STEPHEN V GORYL (PRESIDENT/PHYSICIAN OWNER) |
| Authorized Official Telephone | 9315285547 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD | 2008612 | 01 |
| TN | 3378641 | 05 |
| Street Address |
320 N OAK AVE |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-2440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518950260 | Charles T Womack IIi | Urology | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2005-08-29 |
| 1063877678 | Ashley L Mcmillan | Registered Nurse | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2015-12-24 |
| 1992026868 | Kelly Lynne Mcalvany | Urology | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2010-06-15 |
| 1831331321 | Sara Catherine Wells | Urology | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2009-03-30 |
| 1083885644 | Quinton Victor Cancel | Urology | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2008-03-21 |
| 1578670477 | Ricky Allen Smith | Urology | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2006-08-24 |
| 1427042548 | Connie S Whitesell | Nurse Practitioner | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2005-09-02 |
| 1740273408 | Stephen V Goryl | Urology | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2005-08-29 |
| 1508859166 | Lee S Moore | Urology | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2005-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| 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 |
|---|---|---|---|---|
| 1598735052 | Timothy Ray Collins | Urology | 254 W 7th St, Cookeville, TN 38501 | 2006-01-25 |
| 1518950260 | Charles T Womack IIi | Urology | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2005-08-29 |
| 1558632091 | Cookeville Urology, Pllc | Urology | 254 W 7th St, Cookeville, TN 38501-1719 | 2012-01-13 |
| 1992026868 | Kelly Lynne Mcalvany | Urology | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2010-06-15 |
| 1831331321 | Sara Catherine Wells | Urology | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2009-03-30 |
| 1083885644 | Quinton Victor Cancel | Urology | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2008-03-21 |
| 1578670477 | Ricky Allen Smith | Urology | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2006-08-24 |
| 1740273408 | Stephen V Goryl | Urology | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2005-08-29 |
| 1508859166 | Lee S Moore | Urology | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2005-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396363875 | Connor Forbes | Urology | Vumc Dept Urology, 1161 21st Ave. South, A-1302 Medical Center North, Nashville, TN 37232-2765 | 2020-07-10 |
| 1427528546 | Mark Johnson | Urology | 278 Franklin Rd Ste 150, Brentwood, TN 37027-3265 | 2018-12-01 |
| 1750808580 | Clyde Alexander Kyle | Urology | 448 Kyle Ln Nw, Cleveland, TN 37312-6435 | 2017-08-23 |
| 1316464142 | Urology Associates PC | Urology | 4601 Carothers Pkwy Ste 475, Franklin, TN 37067-5980 | 2017-08-23 |
| 1649796376 | Urology Associates PC | Urology | 502 Northcrest Dr, Springfield, TN 37172-4066 | 2017-08-15 |
| 1932625662 | Urology Associates PC | Urology | 393 Wallace Rd Ste A400, Nashville, TN 37211-4983 | 2017-08-15 |
| 1619493343 | Urology Associates PC | Urology | 5651 Frist Blvd Ste 616, Hermitage, TN 37076-2060 | 2017-08-15 |
| 1881110500 | Urology Associates PC | Urology | 107 Glen Oak Blvd Ste 100, Hendersonville, TN 37075-3161 | 2017-08-15 |
| 1124544853 | Urology Associates PC | Urology | 3443 Dickerson Pike Ste 160, Nashville, TN 37207-2533 | 2017-08-15 |
| 1801310727 | Urology Associates PC | Urology | 1909 Mallory Ln Ste 110, Franklin, TN 37067-8230 | 2017-08-01 |
| Find all providers with the same taxonomy | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
Please comment or provide details below to improve the information on UPPER CUMBERLAND UROLOGY ASSOCIATES PC.
| 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.