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LANDMARK UROLOGY AND COMPLEMENTARY MEDICINE PA NPI 1033201538


NPI Information

NPI: 1033201538
Provider Name: LANDMARK UROLOGY AND COMPLEMENTARY MEDICINE, PA
Classification: Urology - 208800000X
Entity Type: Organization
Address:
3200 BLUE RIDGE RD
SUITE118
RALEIGH, NC
ZIP 27612
Phone: (919) 571-4399
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LANDMARK UROLOGY AND COMPLEMENTARY MEDICINE, PA is an urology in Raleigh, NC. The provider is 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. LANDMARK UROLOGY AND COMPLEMENTARY MEDICINE, PA NPI is 1033201538. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3200 BLUE RIDGE RD
SUITE118
RALEIGH, NC
ZIP 27612-086
Phone: (919) 571-4399
Fax: (919) 571-7627

The provider's authorized official is Mark W Mcclure .
The authorized official title is President and has the following contact phone number (919) 571-4399.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 7/20/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology33672NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12341626MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
2DD8017OTHERNORTH CAROLINAMEDICARE RAILROAD
3890113JMEDICAIDNORTH CAROLINA
41419330OTHERNORTH CAROLINAUNITED HEALTH CARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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