CAROLINA SPECIALTY ONCOLOGY, PA (NPI# 1477520088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477520088 |
| Entity Type | Organization |
| Organization Name | CAROLINA SPECIALTY ONCOLOGY, PA |
| Practice Address |
117 Sunnybrook Rd Raleigh NC 27610-1827 |
| Practice Telephone | 9193343910 |
| Practice Fax Number | 9192509280 |
| Mailing Telephone | 9193343910 |
| Mailing Fax Number | 9192509280 |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2015-12-09 |
| NPI Deactivation Date | 03/02/2006 |
| NPI Reactivation Date | 2006-03-07 |
| Authorized Official Name | DR. KEVIN P KHOUDARY (DIRECTOR) |
| Authorized Official Telephone | 9193343900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5922273 | 05 | |
| NC | BCBS | 01708 | 01 |
| Street Address |
117 SUNNYBROOK RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-1827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164880571 | Rex Radiation Oncology, LLC | Radiology | 117 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2016-02-01 |
| 1700063062 | Donette W Vicente | Internal Medicine | 117 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2008-01-29 |
| 1770551699 | Henry A Unger | Urology | 117 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| 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 |
|---|---|---|---|---|
| 1720427289 | Ajaydeep Singh Sidhu | Urology | 23 Sunnybrook Rd Ste 310, Raleigh, NC 27610-1874 | 2013-06-18 |
| 1477835502 | Associated Urologists of North Carolina Pa | Urology | 3200 Blue Ridge Road, Suite 118, Raleigh, NC 27612-8087 | 2011-09-14 |
| 1770710691 | Capital Urological Associates, P.a. | Urology | 3320 Wake Forest Road, Suite 320, Raleigh, NC 27609 | 2009-06-18 |
| 1891963120 | Raleigh Urology Pa | Urology | 4201 Lake Boone Trl Ste 205, Raleigh, NC 27607-7511 | 2008-02-20 |
| 1437369691 | Emil Mitter Kheterpal | Urology | 3821 Ed Drive, Raleigh, NC 27612 | 2007-05-23 |
| 1891786091 | John Victor Kaspar | Urology | 3821 Ed Dr, Raleigh, NC 27612-8038 | 2005-11-04 |
| 1205491487 | Wakemed Specialists Group LLC | Urology | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1144767260 | Associated Urologists of North Carolina, Pa | Urology | 10208 Cerny St, Suite 202, Raleigh, NC 27617-7884 | 2017-01-26 |
| 1497166334 | Wake Specialty Physicians, LLC | Urology | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2014-05-14 |
| 1427469444 | Wake Specialty Physicians, LLC | Urology | 23 Sunnybrook Rd, Raleigh, NC 27610-1855 | 2014-05-13 |
| Find all providers in RALEIGH | ||||
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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.