HIFU PROSTATE SERVICES, LLC (NPI# 1427563725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427563725 |
| Entity Type | Organization |
| Organization Name | HIFU PROSTATE SERVICES, LLC |
| Practice Address |
4108 Park Rd Ste 205 Charlotte NC 28209-2260 |
| Practice Telephone | 7042487562 |
| Practice Fax Number | 8664378028 |
| Mailing Telephone | 7042487562 |
| Mailing Fax Number | 8664378028 |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2017-12-08 |
| Authorized Official Name | MR. JOHN W LINN (CEO) |
| Authorized Official Telephone | 7042487562 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Street Address |
4108 PARK RD STE 205 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28209-2260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382200 | Christopher Joseph Malara | Occupational Therapy Assistant | 3600 Park Rd, Charlotte, 28209, Nc, Charlotte, NC 28209 | 2019-05-23 |
| 1982187571 | Elizabeth Black Smith | Dietitian, Registered | 5821 Fairview Road, Suite 216, Charlotte, NC 28209 | 2018-09-11 |
| 1235611690 | Shearer Counseling Services Pllc | Counselor | 5200 Park Road Ste 200-3, Charlotte, NC 28209 | 2018-09-02 |
| 1942796396 | Wade Medical Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 4400 Park Rd Unit 315, Charlotte, NC 28209 | 2018-07-09 |
| 1750803672 | Stephanie Rindner | Behavior Technician | 716 Marsh Road, Charlotte, NC 28209 | 2017-07-12 |
| 1861939621 | Carolinas Healthcare System | General Acute Care Hospital | 3329 Weston St, Charlotte, NC 28209 | 2017-01-31 |
| 1275943011 | Cameron Cunningham | Anesthesiology | 1515 Mockingbird Ln Ste 680, Charlotte, NC 28209 | 2014-05-02 |
| 1013299205 | Digital Ultrasound Associates | Spec/Tech, Cardiovascular | 4450 South Blvd Suite 4, Charlotte, NC 28209 | 2011-09-13 |
| 1801117676 | Rosemary Nmi Lucas | Physical Therapist | 2910 Selwyn Ave #359, Charlotte, NC 28209 | 2010-06-16 |
| 1194049767 | Frances Massey Harley | Speech-Language Pathologist | 715 Hartford Avenue, Sedgefield Elementary School, Charlotte, NC 28209 | 2010-03-25 |
| Find all providers in zip 28209 | ||||
| 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 |
| 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 |
| 1558655936 | Manish Patel | Urology | 1023 Edgehill Rd S, Charlotte, NC 28207-1829 | 2011-06-03 |
| Find all providers in CHARLOTTE | ||||
Please comment or provide details below to improve the information on HIFU PROSTATE SERVICES, LLC.
| 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.