CAROLINA UROLOGY CENTER, PA (NPI# 1336164227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336164227 |
| Entity Type | Organization |
| Organization Name | CAROLINA UROLOGY CENTER, PA |
| Practice Address |
1077 W Meeting St Suite A Lancaster SC 29720-2205 |
| Mailing Address |
1780 Medical Park Dr Rock Hill SC 29732-1194 |
| Practice Telephone | 8032851337 |
| Practice Fax Number | 8032854772 |
| 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 |
|---|---|---|---|
| SC | PA4307 | 05 | |
| NC | 8902555 | 05 |
| 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 |
| 1366467250 | Carolina Urology Center, Pa | Urology | 1780 Medical Park Dr, Rock Hill, SC 29732-1194 | 2006-07-13 |
| 1114942927 | Carolina Urology Center, Pa | Urology | 10620 Park Rd, Suite 218, Charlotte, NC 28210-8472 | 2006-07-13 |
| Street Address |
1077 W MEETING ST SUITE A |
| City | LANCASTER |
| State | SC |
| Zip Code | 29720-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342517 | Brandi Breunta Guinyard | Pharmacist | 805 Highway 9, Lancaster, SC 29720 | 2020-09-30 |
| 1831703172 | Faithful Nurses Healthcare | In Home Supportive Care | 108 D Woodland Park Drive, Lancaster, NC 29720 | 2020-09-03 |
| 1114568532 | Lancaster Youth Leadership & Development Program | Voluntary or Charitable | 916 15th Street, Lancaster, SC 29720 | 2019-10-07 |
| 1407320815 | Kristina Marie Medinger | Specialist/Technologist | 4290 Tabernacle Rd, Lancaster, SC 29720 | 2019-01-18 |
| 1154898179 | Crystal B Clark | Family Medicine | 112 Woodland Drive, Lancaster, SC 29720 | 2018-10-29 |
| 1104330802 | Community Medicine Foundation, Inc | Clinic/Center | 1906 Highway 521 Bypass, Catawba Community Mental Health Center Lancaster Clinic, Lancaster, SC 29720 | 2017-11-17 |
| 1467992768 | Endocrinology and Diabetes of The Carolinas LLC | Internal Medicine | 901 West Meeting Street, Suite 205, Lancaster, SC 29720 | 2017-03-06 |
| 1285080341 | Carolinas Physicians Network, Inc. | Orthopaedic Surgery | 1201-1203 Colonial Commons Court, Lancaster, SC 29720 | 2016-05-09 |
| 1568827814 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 1190, Sc-9, Lancaster, SC 29720 | 2015-12-30 |
| 1023491651 | Karen Mcgarvey | Nurse Practitioner | 333 Sc-9 Bypass, Lancaster, SC 29720 | 2015-07-01 |
| Find all providers in zip 29720 | ||||
| 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 |
|---|---|---|---|---|
| 1356748099 | Jon Gilchrist Walker | Urology | 110 N Duke St, Apt 301, Lancaster, PA 17602-2804 | 2014-11-24 |
| 1013321173 | Marvin Clifford Daley | Urology | 31 Deer Ford Dr, Lancaster, PA 17601-5642 | 2014-06-17 |
| 1669896361 | Joseph Aloysius Breslin Jr. | Urology | 1280 Wheatland Ave, Lancaster, PA 17603-4750 | 2014-02-15 |
| 1144589359 | High Desert Urology Medical Group, Inc | Urology | 44105 15th St W Ste 302, Lancaster, CA 93534-4089 | 2012-05-08 |
| 1740441583 | Charles Edward Pohl | Urology | 605 Hamilton Rd, Lancaster, PA 17603-2409 | 2008-06-24 |
| 1194929463 | Derrick Lamar Reedus Sr. | Urology | 135 N Ewing St Ste 201, Lancaster, OH 43130 | 2007-06-12 |
| 1851427926 | Urological Specialists, Ltd | Urology | 1655 B Crooked Oak Drive, Lancaster, PA 17601 | 2007-02-26 |
| 1043315120 | Antelope Valley Impotence & Incontinence Medical Center, Inc | Urology | 44241 North 15th Street West, Suite 101, Lancaster, CA 93534 | 2006-09-14 |
| 1295758555 | Lancaster County Urological Associates | Urology | 600 Eden Rd # F, Lancaster, PA 17601-4205 | 2006-07-26 |
| 1346292109 | Jeffrey Lee Rosenblum | Urology | 2221 Noll Dr Ste 1000, Lancaster, PA 17603-7610 | 2006-05-17 |
| Find all providers in LANCASTER | ||||
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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.