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Urology Associates of Cape Cod — home

Our Physicians & Team

The people you're trusting.

Board-certified physicians and an experienced advanced practice team, serving both Cape locations.

Physicians

Portrait of John J. Homa, DO, FACOS

John J. Homa, DO, FACOS

Urologist

Urologic cancers · Kidney stone surgery · Voiding dysfunction

Portrait of Brian F. Kowal, MD

Brian F. Kowal, MD

Urologist

General urology

Portrait of Andrew C. Kramer, MD

Andrew C. Kramer, MD

Urologist · Men's Health & Prosthetic Urology

Men's health & prosthetic urology · Penile implants & artificial urinary sphincters · Low testosterone · Vasectomy · Implant revision & second opinions

Portrait of Timothy K. O'Rourke, Jr., MD

Timothy K. O'Rourke, Jr., MD

Urologist · Robotic & Minimally Invasive Surgery

Robotic & minimally invasive surgery · Urologic oncology · Kidney stones

Portrait of Jose M. Reyes, MD

Jose M. Reyes, MD

Urologist

Urologic cancers · Kidney stones · BPH & voiding dysfunction · Recurrent UTIs · Minimally invasive urology

Advanced Practice Providers

Our PA-Cs and nurse practitioners carry much of the practice's day-to-day care — including the women's health service line — always in close coordination with the physicians.

Portrait of Cindy Mesmer, FNP-C

Cindy Mesmer, FNP-C

Family Nurse Practitioner

Adult urology visits · Women's pelvic health

Portrait of Stephanie San Giovanni, PA-C

Stephanie San Giovanni, PA-C

Physician Assistant

Women's pelvic health · Urinary incontinence · Recurrent UTIs · Pelvic floor disorders · General urology

Portrait of Mark Tyo, FNP-C

Mark Tyo, FNP-C

Family Nurse Practitioner

Men's health · Erectile dysfunction & low testosterone · General urology · Same-day urgent visits

Paul Waksman, PA-C

Physician Assistant

BPH · Kidney stones · Gross hematuria · Voiding dysfunction · Erectile dysfunction

The team behind the visits

On-site diagnostics and a practice that runs well don't happen by themselves — this is who makes them happen.

Clinical support

  • Matthew Woodcock, PhDLaboratory Director
  • Brett GallLaboratory Manager
  • Tara DestefanoUltrasound Manager

    A Fordham-trained, ARDMS-certified sonographer with more than twenty years of ultrasound experience, Tara has been part of UACC's imaging since 2006 — professional and reassuring, visit after visit.

  • Jennifer KellerUltrasound Technologist

    Jennifer holds ARDMS and ARRT certifications with more than twenty years in diagnostic ultrasound, including urologic and pelvic imaging and MRI/ultrasound fusion-guided prostate biopsy. At UACC since 2024, her standard is simple: treat every patient like family.

  • Kelly KicelukUltrasound Technologist

    A Quinnipiac-trained, ARDMS-certified sonographer, Kelly joined UACC's imaging team in 2025, performing urologic ultrasound and supporting biopsy and procedure imaging. Her aim for every scan: a calm, comfortable visit with meticulous attention to detail. Outside of work — outdoors with her husband and their golden retriever.

Practice administration

  • John AustinPractice Administrator
  • Matheus TanakaRevenue Cycle Manager
  • Christina FelliniOperations Manager

    More than 15 years coordinating care in a busy medical practice — at UACC since 2011 — Christina leads the scheduling team with a focus on efficient, patient-centered service. Off the clock: coffee shops, the beach, her kids, and the Boston Celtics.

  • Sharilyn VillanuevaSurgical Operations Manager

    Sharilyn joined the practice in 2012 as a medical assistant and rose to lead its surgical operations — a path that taught her every step of the patient experience. Her standard: listen, communicate clearly, and make sure every patient feels supported through an important time in their lives.

Not sure who to see?

You don't have to figure that out — describe the concern when you call or request an appointment, and our schedulers match you with the right member of the team.

Request an Appointment(508) 771-9550