ST. LUKE'S PHYSICIAN NETWORK INC. (NPI# 1366067233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366067233 |
| Entity Type | Organization |
| Organization Name | ST. LUKE'S PHYSICIAN NETWORK INC. |
| Other Organization Name | ST. LUKE'S UROLOGY ASSOCIATES |
| Practice Address |
54 Hospital Dr Ste 3b Columbus NC 28722-8516 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 8288942568 |
| Mailing Telephone | 7046310002 |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | ELIZABETH PRESNELL (CFO) |
| Authorized Official Telephone | 8288940954 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. LUKE'S PHYSICIAN NETWORK INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St. Luke's Urology Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023250099 | St. Luke's Physician Network Inc. | Surgery | 44 Hospital Dr, Ste 1a, Columbus, NC 28722-8516 | 2009-04-06 |
| 1154563385 | St. Luke's Physician Network Inc. | Orthopaedic Surgery | 89 W Mills St, Suite A, Columbus, NC 28722-9450 | 2009-04-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | St. Luke's Physician Network Inc. | 101 Hospital Drive, Columbus, NC 28722 |
| Street Address |
54 HOSPITAL DR STE 3B |
| City | COLUMBUS |
| State | NC |
| Zip Code | 28722-8516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245662998 | Precision Plastic Surgery, Pa Columbus | Plastic Surgery | 54 Hospital Dr, Ste 3b, Columbus, NC 28722-8516 | 2013-08-05 |
| 1295736163 | Barry Bodie | Urology | 54 Hospital Dr, Ste 3b, Columbus, NC 28722-8516 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508329145 | Polk County Rescue Squad | Ambulance | 133 Walker St, Columbus, NC 28722 | 2019-04-10 |
| 1912406612 | Healthstat Onsite Clinic Coats Hatch | Preventive Medicine | 960 East Nc 108 Highway, Columbus, NC 28722 | 2018-02-08 |
| 1013437532 | Mission Medical Associates, Inc. | Family Medicine | 589 Peniel Rd, Columbus, NC 28722 | 2017-06-26 |
| 1306272521 | Healthstat On-site Clinic/milliken Hatch | Preventive Medicine | 960 E Nc 108 Hwy, Columbus, NC 28722 | 2013-09-19 |
| 1295177988 | Rebecca Ann Fox | Pharmacist | 725 Laurel Ridge Rd, Columbus, NC 28722 | 2013-07-23 |
| 1063789808 | James Rick Mccallister | Counselor | 801 W. Mills St., Polk Wellness Center, Columbus, OH 28722 | 2011-11-22 |
| 1942502661 | David Ira Hendricks | Pharmacist | 333 West Mills Street, Columbus, NC 28722 | 2010-12-01 |
| 1346476298 | Cami Lockhart Dotson | Orthotic Fitter | 133 Shuford Road, Columbus, NC 28722 | 2009-06-05 |
| 1528237740 | David C Cotty Dmd & Associates Pa | Dentist | 816 West Mills Street, Suite E, Columbus, NC 28722 | 2008-02-21 |
| 1770619439 | Advent Internal Medicine | Internal Medicine | 11 Sunshine Ln, Columbus, NC 28722 | 2007-02-26 |
| Find all providers in zip 28722 | ||||
| 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 |
|---|---|---|---|---|
| 1932594249 | Elizabeth Chang Wendel | Urology | 1538 13th Ave Ste B250, Columbus, GA 31901-2565 | 2015-04-02 |
| 1073932091 | Eric Jacob Fichtenbaum | Urology | 500 E Main St Ste 220, Columbus, OH 43215-5369 | 2014-04-08 |
| 1992123509 | Raunak Patel | Urology | 500 Thomas Ln Ste G, Columbus, OH 43214-3902 | 2014-04-01 |
| 1942563069 | John Alex Brockman | Urology | 5141 W Broad St Ste 180, Columbus, OH 43228-1992 | 2012-06-22 |
| 1699092056 | Kenneth Delay | Urology | 1538 13th Ave Ste A, Columbus, GA 31901-2544 | 2010-04-26 |
| 1750596094 | Central Ohio Urology Group, Inc. | Urology | 3100 Plaza Properties Blvd., Suite 320, Columbus, OH 43219 | 2007-05-11 |
| 1376667212 | Robert Allen Berkman | Urology | 279 S Drexel Ave, Columbus, OH 43209-1742 | 2007-03-17 |
| 1609923796 | Rice and Lake Urology LLP | Urology | 2000 10th Ave Suite 150, Columbus, GA 31901 | 2007-01-04 |
| 1407924053 | Southern Indiana Urologic Clinic,llc | Urology | 2475 N Park Dr Ste 10, Columbus, IN 47203-2215 | 2006-12-01 |
| 1194806687 | Philip T. Schley | Urology | 2808 18th Ave, Columbus, GA 31901-1251 | 2006-10-18 |
| Find all providers in COLUMBUS | ||||
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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.