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UROLOGY SPECIALISTS OF THE CAROLINAS PLLC NPI 1669404208


NPI Information

NPI: 1669404208
Provider Name: UROLOGY SPECIALISTS OF THE CAROLINAS PLLC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 34D2064226

Address:
325 HAWTHORNE LN STE 300
CHARLOTTE, NC
ZIP 28204
Phone: (704) 372-5180
Get Directions

UROLOGY SPECIALISTS OF THE CAROLINAS PLLC 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. UROLOGY SPECIALISTS OF THE CAROLINAS PLLC NPI is 1669404208. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

325 HAWTHORNE LN STE 300
CHARLOTTE, NC
ZIP 28204-433
Phone: (704) 372-5180
Fax: (704) 376-6280

The provider's authorized official is Ralph N Vick .
The authorized official title is President and has the following contact phone number (704) 248-3400.

The CLIA number assigned to this NPI record is 34D2064226 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/6/2006 and was last updated on 7/18/2017.


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
1208800000XUrologyYes

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
12343734MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
22343734DMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
30279UOTHERNORTH CAROLINABLUE CROSS BLUE SHIELD
4CF9758OTHERNORTH CAROLINARAILROAD MEDICARE PROV#
5K8447MEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE GROUP #
62343734CMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
72343734BMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
85903371MEDICAIDNORTH 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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