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JOHN M GAZAK MD NPI 1811000425


NPI Information

NPI: 1811000425
Provider Name: JOHN M GAZAK, MD
Classification: Urology - 2088P0231X
Entity Type: Individual

Specialization: Pediatric Urology

Address:
1420 E 7TH ST
CHARLOTTE, NC
ZIP 28204
Phone: (704) 375-0100
Get Directions

John M Gazak, MD is a pediatric urology urology in Charlotte, NC. The provider is surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). John M Gazak, MD NPI is 1811000425. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1420 E 7TH ST
CHARLOTTE, NC
ZIP 28204-408
Phone: (704) 375-0100
Fax: (704) 887-6450

The enumeration date for this NPI number is 8/16/2006 and was last updated on 3/2/2016.


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
1208800000XUrology25023NORTH CAROLINANo
22088P0231XUrologyPediatric Urology25023NORTH 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
18934991MEDICAIDNORTH CAROLINA
2C81284MEDICARE UPIN

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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