ATLANTIC UROLOGY PC (NPI# 1073770939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073770939 |
| Entity Type | Organization |
| Organization Name | ATLANTIC UROLOGY PC |
| Practice Address |
4222 Long Beach Rd Se Southport NC 28461-8627 |
| Mailing Address |
Po Box 600085 Raleigh NC 27675-6085 |
| Practice Telephone | 9103628765 |
| Mailing Telephone | 9103628765 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2009-03-02 |
| Authorized Official Name | RICHARD J MYNATT (PRESIDENT) |
| Authorized Official Telephone | 9103628765 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497995518 | Atlantic Urology PC | Urology | 14905 Us Highway 17 N, Hampstead, NC 28443-3391 | 2009-03-02 |
| 1851498208 | Atlantic Urology PC | Urology | 7655 Market St, Suite A, Wilmington, NC 28411-9458 | 2006-09-20 |
| 1376649830 | Atlantic Urology PC | Urology | 20 Medical Campus Dr, Suite 202, Supply, NC 28462-4096 | 2006-09-15 |
| 1366474835 | Atlantic Urology PC | Urology | 1606 Physicians Dr, Suite 101, Wilmington, NC 28401-7361 | 2006-07-07 |
| Street Address |
4222 LONG BEACH RD SE |
| City | SOUTHPORT |
| State | NC |
| Zip Code | 28461-8627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942232665 | Karen Harris Chance | Nurse Practitioner | 4222 Long Beach Rd Se, Southport, NC 28461-8627 | 2006-07-06 |
| 1194266023 | Amanda Dewitt Reynolds | Nurse Practitioner | 4222 Long Beach Rd Se, Southport, NC 28461-8627 | 2017-03-10 |
| 1568887818 | J. Arthur Dosher Memorial Hospital | Clinic/Center | 4222 Long Beach Rd Se, Southport, NC 28461-8627 | 2014-02-24 |
| 1942579339 | Med First Immediate Care & Family Practice, Pa | Clinic/Center | 4222 Long Beach Rd Se, Southport, NC 28461-8627 | 2011-12-14 |
| 1326350190 | Wilmington Health Pllc | Internal Medicine | 4222 Long Beach Rd Se, Southport, NC 28461-8627 | 2010-07-09 |
| 1700112489 | Boss Urgent Care Pllc | Clinic/Center | 4222 Long Beach Rd Se, Southport, NC 28461-8627 | 2009-10-30 |
| 1316124845 | John Delamar Schoonmaker | Physician Assistant | 4222 Long Beach Rd Se, Southport, NC 28461-8627 | 2008-01-28 |
| 1215005459 | Michael Cahn | Surgery | 4222 Long Beach Rd Se, Southport, NC 28461-8627 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645542 | Island Time Medical and Wellness, Pllc | Clinic/Center | 39 Dowitcher Trl, Bald Head Island, NC 28461 | 2020-09-30 |
| 1871095356 | Sunny Point Fire & Rescue | Emergency Medicine | 6280 Sunny Point Rd Bldg 44, Southport, NC 28461 | 2018-03-01 |
| 1962882035 | Kimberlee Kreuzer | Physical Therapist | 1517 N Howe St Suite 4, Southport, NC 28461 | 2015-06-04 |
| 1134449291 | Kristos Nektarios Vaughan | Family Medicine | 3009 Medical Plaza Lane, Southport, NC 28461 | 2010-06-10 |
| 1750612974 | Melissa Holden | Nurse Practitioner | 1517 N Howe St Ste 12, Southport, NC 28461 | 2010-01-28 |
| 1437315165 | North Carolina Shoulder and Elbow Surgery and Sports Medicine | Orthopaedic Surgery | 900 North Howe St, Southport, NC 28461 | 2008-08-01 |
| 1124212329 | Edward Frank Babel | Nurse Practitioner | 201 West Boiling Spring Lakes Road, New Hope Clinic, Boiling Spring Lakes, NC 28461 | 2007-08-30 |
| 1952453151 | Robert Wayne Poe | Otolaryngology | 900 N. Howe St, Southport, NC 28461 | 2007-01-17 |
| 1275640898 | Kurt Thomas Scheetz | Dentist | 1301 N Howe Street, Southport, NC 28461 | 2006-08-23 |
| 1396859872 | Brunswick Family Medicine Pa | Family Medicine | 3960 Executive Park Blvd, Unit 600, Southport, NC 28461 | 2006-08-19 |
| Find all providers in zip 28461 | ||||
| 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 |
|---|---|---|---|---|
| 1265765325 | Carolina Healthcare Associates Inc | Urology | 3009 Medical Plaza Ln, Southport, NC 28461-5194 | 2009-09-08 |
| 1497146856 | Novant Medical Group Inc | Urology | 1456 N Howe St, Suite 201, Southport, NC 28461-2754 | 2015-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528673423 | Meredith Abernethy | Urology | 140 Kimel Park Dr # 100, Winston Salem, NC 27103-6184 | 2020-09-09 |
| 1942833678 | Joshua Daniel Howell | Urology | 10650 Park Rd Ste 320, Charlotte, NC 28210-8543 | 2020-02-21 |
| 1144887019 | Shuo Liu | Urology | Department of Urology Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2019-05-25 |
| 1427563725 | Hifu Prostate Services, LLC | Urology | 4108 Park Rd Ste 205, Charlotte, NC 28209-2260 | 2017-12-08 |
| 1134644859 | Ilan Binyamin Klein | Urology | Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 | 2017-08-03 |
| 1184163883 | Dlp Central Carolina Medical Group LLC | Urology | 1139 Carthage St Ste 110-b, Sanford, NC 27330-4111 | 2017-02-15 |
| 1578007225 | Cumberland County Hospital System Inc | Urology | 805 Tilghman Dr, Suite A, Dunn, NC 28334-5887 | 2016-12-15 |
| 1063963080 | Novant Medical Group, Inc | Urology | 1730 Kernersville Medical Pkwy Ste 303, Kernersville, NC 27284-7198 | 2016-10-14 |
| 1588019152 | Murphy Medical Center, Inc. | Urology | 75 Medical Park Ln Ste A, Murphy, NC 28906-6673 | 2016-05-02 |
| 1427446723 | Regional Physicians LLC | Urology | 217- 218 Gatewood Ave, High Point, NC 27262-4877 | 2015-01-08 |
| 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.