Provider Type Icon

NOVANT MEDICAL GROUP INC. NPI 1881707487


NPI Information

NPI: 1881707487
Provider Name: NOVANT MEDICAL GROUP, INC.

Doing Business As: SOUTHEAST CHILDREN'S UROLOGY

Classification: Urology - 2088P0231X
Entity Type: Organization

Specialization: Pediatric Urology

Address:
16525 HOLLY CREST LN
SUITE 230
HUNTERSVILLE, NC
ZIP 28078
Phone: (704) 316-5140
Get Directions

NOVANT MEDICAL GROUP, INC. is a pediatric urology urology in Huntersville, 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). NOVANT MEDICAL GROUP, INC. NPI is 1881707487. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southeast Children's Urology.

The provider's business location address is:

16525 HOLLY CREST LN
SUITE 230
HUNTERSVILLE, NC
ZIP 28078-909
Phone: (704) 316-5140
Fax: (704) 316-5145

The provider's authorized official is Dinesh S Pai .
The authorized official title is Vp Of Operations and has the following contact phone number (704) 384-9104.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 8/18/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12088P0231XUrologyPediatric UrologyNORTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15904654MEDICAIDNORTH CAROLINA
2NPB185MEDICAIDSOUTH CAROLINA
3018J1OTHERNORTH CAROLINABCBS
42344688MMEDICARE PINNORTH 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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.