CAROLINA UROLOGY CENTER, PA (NPI# 1114942927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114942927 |
| Entity Type | Organization |
| Organization Name | CAROLINA UROLOGY CENTER, PA |
| Practice Address |
10620 Park Rd Suite 218 Charlotte NC 28210-8472 |
| Mailing Address |
1780 Medical Park Dr Rock Hill SC 29732-1194 |
| Practice Telephone | 7045437186 |
| Practice Fax Number | 7045437094 |
| Mailing Telephone | 8033271116 |
| Mailing Fax Number | 8033276872 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-10-09 |
| Authorized Official Name | TRACY BLACK (PRACTICE MANAGER) |
| Authorized Official Telephone | 8033271116 |
| 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 |
|---|---|---|---|
| NC | 890127V | 05 | |
| NC | BCBS | 0127V | 01 |
| NC | BC/BS | 02555 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952561623 | Carolina Urology Center, Pa | Urology | 580 Kingsley Park Dr, Suite 150, Fort Mill, SC 29715-6403 | 2008-06-16 |
| 1336164227 | Carolina Urology Center, Pa | Urology | 1077 W Meeting St, Suite A, Lancaster, SC 29720-2205 | 2006-07-13 |
| 1366467250 | Carolina Urology Center, Pa | Urology | 1780 Medical Park Dr, Rock Hill, SC 29732-1194 | 2006-07-13 |
| Street Address |
10620 PARK RD SUITE 218 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28210-8472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508869835 | Larry F. Berman | Internal Medicine | 10620 Park Rd, Ste 128, Charlotte, NC 28210-8472 | 2005-05-31 |
| 1154872315 | Rdmg Associates Pa | Physician Assistant | 10620 Park Rd, Ste 128, Charlotte, NC 28210-8472 | 2016-10-21 |
| 1831649854 | Marianne Katerina Gross | Physical Therapist | 10620 Park Rd, #200, Charlotte, NC 28210-8472 | 2016-10-13 |
| 1902264435 | Raleigh Durham Medical Group, Pa | Physician Assistant | 10620 Park Rd, Suite 128, Charlotte, NC 28210-8472 | 2016-01-28 |
| 1336538511 | Amy Elizabeth Lukacs | Speech-Language Pathologist | 10620 Park Rd, #200, Charlotte, NC 28210-8472 | 2015-01-12 |
| 1740688506 | Katherine Dillinger | Physical Therapist | 10620 Park Rd, Charlotte, NC 28210-8472 | 2014-12-10 |
| 1962809160 | Amanda Penegar | Physician Assistant | 10620 Park Rd, Suite 102, Charlotte, NC 28210-8472 | 2014-12-03 |
| 1922347806 | Carolinas Physicians Network Inc | Family Medicine | 10620 Park Rd, Building 400, Charlotte, NC 28210-8472 | 2013-02-12 |
| 1154654549 | Lynda S Greene | Physical Therapist | 10620 Park Rd, Charlotte, NC 28210-8472 | 2009-09-16 |
| 1407095631 | Athena Markella Kortesis | Nurse Practitioner | 10620 Park Rd, Suite 128, Charlotte, NC 28210-0106 | 2009-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1790256964 | Tele Phys Inc | Internal Medicine | 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 | 2018-12-16 |
| 1104395896 | Bridgett Williams | Behavior Technician | 7806 Andover Woods Drive, Charlotte, NC 28210 | 2018-11-26 |
| 1053880518 | Low-t Physicians Professional Association | Internal Medicine | 10430 Park Road Suite 100a, Charlotte, NC 28210 | 2018-11-14 |
| 1053895102 | Carolinas Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 | 2018-09-24 |
| 1679066658 | Afc Urgent Care and Family Care of Wnc, Pllc | Clinic/Center | 10102 Johnston Rd, Charlotte, NC 28210 | 2018-06-13 |
| 1346777018 | Hopeway Foundation | Clinic/Center | 1717 Sharon Road West, Charlotte, NC 28210 | 2017-05-12 |
| 1891154688 | Jessie Lee Ogienko | Social Worker | 5960 Fairview Rd Ste 328, Charlotte, NC 28210 | 2016-02-22 |
| 1699151985 | Carolina Complete Psychiatry, Pllc | Physician Assistant | 5950 Fairview Road, Suite 708, Charlotte, NC 28210 | 2015-08-10 |
| Find all providers in zip 28210 | ||||
| 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 |
|---|---|---|---|---|
| 1942833678 | Joshua Daniel Howell | Urology | 10650 Park Rd Ste 320, Charlotte, NC 28210-8543 | 2020-02-21 |
| 1427563725 | Hifu Prostate Services, LLC | Urology | 4108 Park Rd Ste 205, Charlotte, NC 28209-2260 | 2017-12-08 |
| 1689618225 | Daniel Lee Watson | Urology | 325 Hawthorne Ln Ste 300, Charlotte, NC 28204-2433 | 2006-06-15 |
| 1972542298 | Chris Teigland | Urology | 1023 Edgehill Rd S, Charlotte, NC 28207-1829 | 2006-06-05 |
| 1306832696 | Todd Douglas Cohen | Urology | 12610 N Community House Rd Ste 100, Charlotte, NC 28277-3892 | 2005-09-22 |
| 1881222669 | Charles Ellis | Urology | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-03-29 |
| 1902366222 | Samuel J Ivan | Urology | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2019-03-22 |
| 1487034146 | Daniel Edwards | Urology | 1021 Morehead Medical Dr, Ste 6100, Charlotte, NC 28204-2990 | 2015-06-08 |
| 1598022089 | Maxim Mckibben | Urology | 1023 Edgehill Rd S, Charlotte, NC 28207-1829 | 2012-04-20 |
| 1295008324 | Justin Matulay | Urology | 101 E W T Harris Blvd, Ste 5500, Charlotte, NC 28262-3485 | 2012-02-21 |
| Find all providers in CHARLOTTE | ||||
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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.