DR. TIMOTHY PAUL BUKOWSKI (NPI# 1104843556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104843556 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY PAUL BUKOWSKI |
| Credential | MD |
| Practice Address |
3821 Ed Dr Raleigh NC 27612-8038 |
| Practice Telephone | 9198515482 |
| Practice Fax Number | 9198591729 |
| Mailing Telephone | 9198515482 |
| Mailing Fax Number | 9198591729 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 9500849 | NC | Allopathic & Osteopathic Physicians |
| N | 2088P0231X |
Urology Specialization: Pediatric Urology |
9500849 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8919639 | 05 |
| Street Address |
3821 ED DR |
| City | RALEIGH |
| State | NC |
| Zip Code | 27612-8038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891786091 | John Victor Kaspar | Urology | 3821 Ed Dr, Raleigh, NC 27612-8038 | 2005-11-04 |
| 1083174742 | Hildegarde Michel Perry | Registered Nurse | 3821 Ed Dr, Raleigh, NC 27612-8038 | 2019-03-20 |
| 1952867095 | Associated Urologists of North Carolina Pa | Non-Pharmacy Dispensing Site | 3821 Ed Dr, Raleigh, NC 27612-8038 | 2019-02-13 |
| 1457719049 | Sarah Hendrickson | Physician Assistant | 3821 Ed Dr, Raleigh, NC 27612-8038 | 2016-02-10 |
| 1497110498 | Chelsea Zurl | Physician Assistant | 3821 Ed Dr, Raleigh, NC 27612-8038 | 2015-12-18 |
| 1689896219 | Daniel Khera-mcrackan | Urology | 3821 Ed Dr, Raleigh, NC 27612-8038 | 2007-05-03 |
| 1861504318 | Scott D Baker | Urology | 3821 Ed Dr, Raleigh, NC 27612-8038 | 2006-08-31 |
| 1295741726 | Joseph D. Neighbors Jr. | Urology | 3821 Ed Dr, Raleigh, NC 27612-8038 | 2006-08-01 |
| 1326054859 | Mark W Jalkut | Urology | 3821 Ed Dr, Raleigh, NC 27612-8038 | 2006-08-01 |
| 1780624411 | Stephen F Shaban | Urology | 3821 Ed Dr, Raleigh, NC 27612-8038 | 2006-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538714068 | George J Henderon | Orthotist | 5313 Duraleigh Road, Ste 151, Raleigh, NC 27612 | 2019-08-01 |
| 1902399223 | Iain Knox Nathaniel Irwin | Marriage & Family Therapist | 7701 Alborz Dr, Raleigh, NC 27612 | 2018-06-12 |
| 1225525884 | Patterns Behavioral Services North Carolina, Inc | Assistant Behavior Analyst | 3738 National Dr, Ste 110, Raleigh, NC 27612 | 2018-04-19 |
| 1053820720 | The Art Counseling L.L.C. | Psychologist | 4610 Twisted Oaks Drive Apt 1807, Raleigh, NC 27612 | 2017-09-26 |
| 1376052431 | Amanda Steed | Speech-Language Pathologist | 5519 Hamstead Crossing, Raleigh, NC 27612 | 2017-09-21 |
| 1295250991 | Neal H. Patel Dds Pllc | Dentist | 7211 Shellburne Dr, Raleigh, NC 27612 | 2017-08-03 |
| 1811426109 | Marquita Randolph-breeden | Behavior Technician | 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 | 2017-06-08 |
| 1336518554 | Travis Edward Williams | Counselor | 4801 Glenwood Ave., Suite 200, Raleigh, NC 27612 | 2015-09-17 |
| 1831587476 | Harris Teeter LLC | Pharmacy | 2051 W Millbrook Road, Raleigh, NC 27612 | 2015-01-06 |
| 1780072975 | Harris Teeter LLC | Pharmacy | 2051 W. Millbrook Road, Raleigh, NC 27612 | 2014-12-23 |
| Find all providers in zip 27612 | ||||
| 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 |
|---|---|---|---|---|
| 1720427289 | Ajaydeep Singh Sidhu | Urology | 23 Sunnybrook Rd Ste 310, Raleigh, NC 27610-1874 | 2013-06-18 |
| 1477835502 | Associated Urologists of North Carolina Pa | Urology | 3200 Blue Ridge Road, Suite 118, Raleigh, NC 27612-8087 | 2011-09-14 |
| 1770710691 | Capital Urological Associates, P.a. | Urology | 3320 Wake Forest Road, Suite 320, Raleigh, NC 27609 | 2009-06-18 |
| 1891963120 | Raleigh Urology Pa | Urology | 4201 Lake Boone Trl Ste 205, Raleigh, NC 27607-7511 | 2008-02-20 |
| 1437369691 | Emil Mitter Kheterpal | Urology | 3821 Ed Drive, Raleigh, NC 27612 | 2007-05-23 |
| 1477520088 | Carolina Specialty Oncology, Pa | Urology | 117 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2006-03-02 |
| 1891786091 | John Victor Kaspar | Urology | 3821 Ed Dr, Raleigh, NC 27612-8038 | 2005-11-04 |
| 1205491487 | Wakemed Specialists Group LLC | Urology | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1144767260 | Associated Urologists of North Carolina, Pa | Urology | 10208 Cerny St, Suite 202, Raleigh, NC 27617-7884 | 2017-01-26 |
| 1497166334 | Wake Specialty Physicians, LLC | Urology | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2014-05-14 |
| Find all providers in RALEIGH | ||||
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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.