CAROLINA HEALTHCARE ASSOCIATES INC (NPI# 1073821781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073821781 |
| Entity Type | Organization |
| Organization Name | CAROLINA HEALTHCARE ASSOCIATES INC |
| Other Organization Name | UROLOGY COMPREHENSIVE SERVICES |
| Practice Address |
209b Us Highway 117 N Burgaw NC 28425-5101 |
| Mailing Address |
Po Box 602484 Charlotte NC 28260-2484 |
| Practice Telephone | 9102541033 |
| Practice Fax Number | 9103430171 |
| Mailing Telephone | 9102541033 |
| Mailing Fax Number | 9103430171 |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2017-01-10 |
| Authorized Official Name | MR. DAN E GOODWIN (VP) |
| Authorized Official Telephone | 9106677597 |
| Is Organization Subpart | Y |
| Parent Organization Name | CAROLINA HEALTHCARE ASSOCIATES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1073821781 | 05 | |
| NC | 5916788 | 05 |
| Other Name | Type Code |
|---|---|
| Urology Comprehensive Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184279390 | Carolina Healthcare Associates Inc | Physical Therapist | 2710 Market St, Wilmington, NC 28403-1218 | 2019-08-05 |
| 1245519032 | Carolina Healthcare Associates Inc | Internal Medicine | 221 Memorial Dr, Jacksonville, NC 28546-6333 | 2011-08-10 |
| 1265765325 | Carolina Healthcare Associates Inc | Urology | 3009 Medical Plaza Ln, Southport, NC 28461-5194 | 2009-09-08 |
| 1841674264 | Carolina Healthcare Associates Inc | Obstetrics & Gynecology | 2150 Shipyard Blvd, Wilmington, NC 28403-8052 | 2015-07-15 |
| 1033597224 | Carolina Healthcare Associates Inc | Psychiatry & Neurology | 1509 Doctors Cir, Bldg C, Wilmington, NC 28401-7403 | 2015-05-08 |
| 1417334145 | Carolina Healthcare Associates Inc | Internal Medicine | 1509 Doctors Cir, Bldg C, Wilmington, NC 28401-7403 | 2015-05-01 |
| 1518216118 | Carolina Healthcare Associates Inc | Obstetrics & Gynecology | 1809 Glen Meade Rd, Wilmington, NC 28403-6022 | 2012-08-29 |
| 1649529231 | Carolina Healthcare Associates Inc | Obstetrics & Gynecology | 1333 S Dickinson Dr, Suite 110, Leland, NC 28451-6430 | 2012-08-29 |
| 1609124650 | Carolina Healthcare Associates Inc | Clinic/Center | 1415 Medical Center Dr, Wilmington, NC 28401-7504 | 2012-08-23 |
| 1851655930 | Carolina Healthcare Associates Inc | Internal Medicine | 1415 Medical Center Dr, Wilmington, NC 28401-7504 | 2012-07-03 |
| Street Address |
209B US HIGHWAY 117 N |
| City | BURGAW |
| State | NC |
| Zip Code | 28425-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265733406 | Carolina Healthcare Associates, Inc. | Internal Medicine | 209b Us Highway 117 N, Burgaw, NC 28425-5101 | 2010-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091662 | Chiquitta Williams Lesene | Counselor | 407 E Fremont Street, Burgaw, NC 28425 | 2020-10-22 |
| 1255978912 | David L Populus Jr. | Preventive Medicine | 1638 Hwy 53, Burgaw, NC 28425 | 2019-12-02 |
| 1467948729 | Coastal Horizons Center Inc. | Community/Behavioral Health | 309 Progress Dr., Burgaw, NC 28425 | 2018-07-10 |
| 1629504824 | Kellie Savard | Speech-Language Pathologist | 213 South Wright Street, Unit B, Burgaw, NC 28425 | 2017-05-08 |
| 1578004800 | Alisa Fussell | Speech-Language Pathologist | 10131 Highway 53 W, Burgaw, NC 28425 | 2017-03-20 |
| 1881136851 | Pender Pediatric Therapy, PC | Speech-Language Pathologist | 126 W. Fremont St., Burgaw, NC 28425 | 2016-11-08 |
| 1821424771 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 206 Us Highway 117 S, Burgaw, NC 28425 | 2013-09-24 |
| 1679816193 | Kerry Dawn Daraskavich | Physical Therapist | 311 South Campell Street, Burgaw, NC 28425 | 2013-04-03 |
| 1184985178 | Kerr Drug | Point of Service | 206 Us Route 117 South, Burgaw, NC 28425 | 2012-06-06 |
| 1407117682 | Courtney L Gibbs | Speech-Language Pathologist | 126 W Fremont St, Burgaw, NC 28425 | 2012-06-04 |
| Find all providers in zip 28425 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528673423 | Meredith Abernethy | Urology | 140 Kimel Park Dr # 100, Winston Salem, NC 27103-6184 | 2020-09-09 |
| 1942833678 | Joshua Daniel Howell | Urology | 10650 Park Rd Ste 320, Charlotte, NC 28210-8543 | 2020-02-21 |
| 1144887019 | Shuo Liu | Urology | Department of Urology Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2019-05-25 |
| 1427563725 | Hifu Prostate Services, LLC | Urology | 4108 Park Rd Ste 205, Charlotte, NC 28209-2260 | 2017-12-08 |
| 1134644859 | Ilan Binyamin Klein | Urology | Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 | 2017-08-03 |
| 1184163883 | Dlp Central Carolina Medical Group LLC | Urology | 1139 Carthage St Ste 110-b, Sanford, NC 27330-4111 | 2017-02-15 |
| 1578007225 | Cumberland County Hospital System Inc | Urology | 805 Tilghman Dr, Suite A, Dunn, NC 28334-5887 | 2016-12-15 |
| 1063963080 | Novant Medical Group, Inc | Urology | 1730 Kernersville Medical Pkwy Ste 303, Kernersville, NC 27284-7198 | 2016-10-14 |
| 1588019152 | Murphy Medical Center, Inc. | Urology | 75 Medical Park Ln Ste A, Murphy, NC 28906-6673 | 2016-05-02 |
| 1427446723 | Regional Physicians LLC | Urology | 217- 218 Gatewood Ave, High Point, NC 27262-4877 | 2015-01-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.