UNIVERSITY UROLOGICAL ASSOCIATES, INC. (NPI# 1336365873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336365873 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY UROLOGICAL ASSOCIATES, INC. |
| Other Organization Name | COLLYER STREET OPERATORY |
| Practice Address |
195 Collyer St Suite 201 Providence RI 02904-1869 |
| Mailing Address |
195 Collyer Street Suite 201 Providence RI 02904 |
| Practice Telephone | 4012762026 |
| Practice Fax Number | 4012762025 |
| Mailing Telephone | 4012762026 |
| Mailing Fax Number | 4012762025 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2014-09-18 |
| Authorized Official Name | MS. MICHELLE R DEROCHE (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 4012762001 |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSTIY UROLOGICAL ASSOCIATES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | PHS00006 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | BLUE CROSS BLUE SHIELD | 000005723 | 01 |
| Other Name | Type Code |
|---|---|
| Collyer Street Operatory | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508142969 | University Urological Associates, Inc. | Urology | 869 Post Rd, Warwick, RI 02888-3360 | 2011-10-31 |
| 1578876272 | University Urological Associates, Inc. | Urology | 2005 Bay St, Norhtwoods Cn, Taunton, MA 02780-1085 | 2010-07-22 |
| 1346410032 | University Urological Associates, Inc. | Urology | 400 Bald Hill Rd, Suite 523, Warwick, RI 02886-1617 | 2008-03-10 |
| 1326218025 | University Urological Associates, Inc. | Urology | 60 Messenger St, Plainville, MA 02762-2258 | 2008-03-10 |
| 1487832515 | University Urological Associates, Inc. | Urology | 2 Dudley St, Suite 175/185, Providence, RI 02905-3236 | 2008-01-31 |
| 1720264849 | University Urological Associates, Inc. | Urology | 450 Veterans Memorial Pkwy, Building 14, East Providence, RI 02914-5300 | 2008-01-18 |
| 1659463230 | University Urological Associates, Inc. | Radiology | 195 Collyer St, Suite 201, Providence, RI 02904-1869 | 2006-09-29 |
| Street Address |
195 COLLYER ST SUITE 201 |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02904-1869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790783744 | Beth Ann Ryder | Surgery | 195 Collyer St, Suite 302, Providence, RI 02904-1869 | 2005-07-13 |
| 1710454152 | Melissa Hunter | Occupational Therapist | 195 Collyer St, Providence, RI 02904-1869 | 2018-10-24 |
| 1013492073 | Ashley Norian | Speech-Language Pathologist | 195 Collyer St, Providence, RI 02904-1869 | 2018-09-26 |
| 1487902276 | Sunhe Fusco | Nurse Practitioner | 195 Collyer St, Suite 302, Providence, RI 02904-1869 | 2012-08-27 |
| 1215283825 | Shannon Marie Lane | Physical Therapy Assistant | 195 Collyer St, Providence, RI 02904-1869 | 2012-08-01 |
| 1649526286 | The Miriam Hospital Outpatient Rehabilitation | Clinic/Center | 195 Collyer St, Providence, RI 02904-1869 | 2012-08-01 |
| 1114299112 | Courtney Alissa Klenk | Physical Therapist | 195 Collyer St, 3rd Floor, Providence, RI 02904-1869 | 2012-02-07 |
| 1598077588 | Emily Henault | Physician Assistant | 195 Collyer St, Suite 302, Providence, RI 02904-1869 | 2010-07-08 |
| 1912235318 | Elisa Marie Wasilewski | Physician Assistant | 195 Collyer St, Suite 302, Providence, RI 02904-1869 | 2009-11-23 |
| 1013177518 | Boris Gershman | Urology | 195 Collyer St, Suite 201, Providence, RI 02904-1869 | 2008-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| 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 |
|---|---|---|---|---|
| 1336658145 | Brown Urology, Inc. | Urology | 195 Collyer St Ste 104, Providence, RI 02904-1869 | 2017-09-25 |
| 1861652349 | Liza M. Aguiar | Urology | 195 Collyer St 201, Providence, RI 02904-1869 | 2008-06-10 |
| 1841304078 | Dragan J Golijanin | Urology | 2 Dudley St Ste 185, Providence, RI 02905-3247 | 2006-08-17 |
| 1255386868 | Providence Urology, LLC | Urology | 1165 N Main St, Suite 200, Providence, RI 02904-5740 | 2006-05-23 |
| 1508483496 | Mohammad Hisham Hout | Urology | 593 Eddy St, Providence, RI 02903-4923 | 2020-06-26 |
| 1235752478 | Faizanahmed I Munshi | Urology | 593 Eddy St, Providence, RI 02903-4923 | 2020-05-22 |
| 1225650286 | Sreeya Sai Komaravolu | Urology | 593 Eddy St, Providence, RI 02903-4923 | 2020-05-13 |
| 1154988004 | Kathleen Chace | Urology | Rhode Island Hospital, 593 Eddy Street, Providence, RI 02903 | 2019-05-28 |
| 1538620760 | Sarah Anne Moore | Urology | 593 Eddy St, Providence, RI 02903 | 2019-03-29 |
| 1720570872 | Rachel Morgan Greenberg | Urology | 593 Eddy St, Providence, RI 02903-4923 | 2018-06-05 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02904 |
Please comment or provide details below to improve the information on UNIVERSITY UROLOGICAL ASSOCIATES, INC..
| 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.