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PEDIATRIC UROLOGY ASSOCIATES NPI 1376593061


NPI Information

NPI: 1376593061
Provider Name: PEDIATRIC UROLOGY ASSOCIATES

Doing Business As: PEDIATRIC UROLOGY ASSOCIATES

Classification: Urology - 208800000X
Entity Type: Organization
Address:
3135 SPRINGBANK LANE
SUITE 200
CHARLOTTE, NC
ZIP 28226
Phone: (704) 540-3667
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PEDIATRIC UROLOGY ASSOCIATES is an urology in Charlotte, 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. PEDIATRIC UROLOGY ASSOCIATES NPI is 1376593061. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Pediatric Urology Associates.

The provider's business location address is:

3135 SPRINGBANK LANE
SUITE 200
CHARLOTTE, NC
ZIP 28226-360
Phone: (704) 540-3667
Fax: (704) 540-3668

The provider's authorized official is Joseph A. Molitiesm .
The authorized official title is Coo and has the following contact phone number (407) 540-3667.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 8/5/2015.


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
1363AM0700XPhysician AssistantMedical1000392NORTH CAROLINANo
2363AM0700XPhysician AssistantMedical103556NORTH CAROLINANo
3208800000XUrology9600282NORTH 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
1F88695MEDICARE UPINNORTH CAROLINA
28951818MEDICAIDNORTH CAROLINA
302367OTHERNORTH CAROLINABCBS
451818MEDICAIDNORTH CAROLINA

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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