L VIJAYA. MD, PA (NPI# 1124239553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124239553 |
| Entity Type | Organization |
| Organization Name | L VIJAYA. MD, PA |
| Practice Address |
568 Ruin Creek Rd Ste. 121 Henderson NC 27536-2880 |
| Mailing Address |
568 Ruin Creek Rd Suite 121 Henderson NC 27536-2880 |
| Practice Telephone | 2524928711 |
| Practice Fax Number | 2524922028 |
| Mailing Telephone | 2524928711 |
| Mailing Fax Number | 2524922028 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2008-09-22 |
| Authorized Official Name | MRS. CONNIE B BRENDLE (OFFICE MANAGER) |
| Authorized Official Telephone | 2524928711 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 19957 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8985084 | 05 |
| Street Address |
568 RUIN CREEK RD STE. 121 |
| City | HENDERSON |
| State | NC |
| Zip Code | 27536-2880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285630301 | Hernan John Jimenez-medina | Physical Medicine & Rehabilitation | 568 Ruin Creek Rd, Suite 128, Henderson, NC 27536-2880 | 2005-06-23 |
| 1285008235 | Kelly Gentry | Nurse Practitioner | 568 Ruin Creek Rd, Suite 003, Henderson, NC 27536-2880 | 2015-11-13 |
| 1306217450 | Terri Mcdowell | Nurse Practitioner | 568 Ruin Creek Rd, Suite 128, Henderson, NC 27536-2880 | 2015-10-15 |
| 1215273628 | Dlp Maria Parham Physician Practices, LLC | Family Medicine | 568 Ruin Creek Rd, Suite 001, Henderson, NC 27536-2880 | 2012-12-13 |
| 1811274558 | Dlp Maria Parham Physician Practices, LLC | Internal Medicine | 568 Ruin Creek Rd, Suite 128, Henderson, NC 27536-2880 | 2011-11-09 |
| 1730466475 | Dlp Maria Parham Physician Practices, LLC | Physical Medicine & Rehabilitation | 568 Ruin Creek Rd, Suite 006, Henderson, NC 27536-2880 | 2011-11-09 |
| 1801172820 | Dlp Maria Parham Physician Practices, LLC | Internal Medicine | 568 Ruin Creek Rd, Suite 006, Henderson, NC 27536-2880 | 2011-10-24 |
| 1386929628 | Maria Parham Anesthesia and Physiatry Center Inc | Internal Medicine | 568 Ruin Creek Rd, Suite 102, Henderson, NC 27536-2880 | 2011-10-19 |
| 1750556791 | Richard A. Goldstein, M.d. | Audiologist-Hearing Aid Fitter | 568 Ruin Creek Rd, Suite 003, Henderson, NC 27536-5921 | 2008-04-29 |
| 1487832754 | Maria Parham Anesthesia and Physiatry Center, Inc | Anesthesiology | 568 Ruin Creek Rd, Suite 128, Henderson, NC 27536-2880 | 2008-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940926 | Lane and Associates Xxxvi Dds Pa | Dentist | 900 South Garnett St., Henderson, NC 27536 | 2019-12-23 |
| 1487012076 | Melissa Burroughs | Registered Nurse | 943-h W. Andrews Avenue, Henderson, NC 27536 | 2016-02-10 |
| 1578949269 | Growth Recovery Opportunity & Wellness | Community/Behavioral Health | 804 South Garnett St, Henderson, NC 27536 | 2015-08-04 |
| 1003290297 | Saintpaulhealthcarept, Inc. | Home Health | 839 E Montgomery St, Henderson, NC 27536 | 2015-07-17 |
| 1518369859 | Kristina Thornton | Pharmacist | 200 North Cooper Road, Henderson, NC 27536 | 2014-09-18 |
| 1306285135 | Green Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 429 Sunnyview Road, Henderson, NC 27536 | 2013-06-14 |
| 1760820278 | Innovative Health Services | In Home Supportive Care | 1758 Parham Street, Henderson, NC 27536 | 2013-06-06 |
| 1578900015 | Frances Veronica Finamore | Counselor | 710 Parham Street, Henderson, NC 27536 | 2013-05-23 |
| 1952530834 | Sucessful Achievements Program Incorporated | Driver | 133 Us 1 A, Norlina, NC 27536 | 2009-07-13 |
| 1407096100 | Recovery Response Center | Psychiatric Hospital | 300 Parkview Drive, Henderson, NC 27536 | 2009-02-20 |
| Find all providers in zip 27536 | ||||
| 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 |
|---|---|---|---|---|
| 1336403260 | Casey Owen Mccraw | Urology | 8915 S Pecos Rd Ste 19a, Henderson, NV 89074 | 2012-06-26 |
| 1427260074 | John Rogers Clague | Urology | 610 N High St, Henderson, TX 75652-5914 | 2007-05-04 |
| 1518058577 | Adrian Mahendra Ogle | Urology | 120 Charles Rollins Rd Ste 105, Henderson, NC 27536-2882 | 2006-09-27 |
| 1497762892 | James M Fellows | Urology | 110 Third St, Henderson, KY 42420-2993 | 2006-08-01 |
| 1306824149 | R. David Larsen | Urology | 9053 S Pecos Rd, Suite 2900, Henderson, NV 89074-7177 | 2006-01-03 |
| 1609854462 | Eliot M. Horowitz | Urology | 9053 S. Pecos Rd., Suite 2900, Henderson, NV 89074-7178 | 2006-01-03 |
| 1366969966 | Dlp Maria Parham Physician Practices LLC | Urology | 120 Charles Rollins Rd Ste 105, Henderson, NC 27536-2882 | 2017-08-24 |
| 1255854105 | Dlp Maria Parham Physician Practices LLC | Urology | 120 Charles Rollins Rd Ste 105, Henderson, NC 27536-2882 | 2017-07-24 |
| 1326360686 | Ageless Men's Health Nv, LLC | Urology | 2821 W Horizon Ridge Pkwy, 111, Henderson, NV 89052-4427 | 2010-02-26 |
| 1124278650 | 21st Century Specialty Physicians Michael J Katin Md PC | Urology | 52 N Pecos Rd, Henderson, NV 89074-7319 | 2008-09-20 |
| Find all providers in HENDERSON | ||||
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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.