PRABHAKAR MITHAL (NPI# 1497172951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497172951 |
| Entity Type | Individual |
| Full Name | PRABHAKAR MITHAL |
| Practice Address |
140 Charlois Blvd Winston Salem NC 27103-1522 |
| Mailing Address |
Medical Center Blvd Winston Salem NC 27157-0001 |
| Practice Telephone | 3367164131 |
| Practice Fax Number | 3367130328 |
| Mailing Telephone | 3637164131 |
| Enumeration Date | 2014-03-23 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 2020-00904 | NC | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 Elmwood Ave Box Surg, Rochester, NY 146420001 | 5852752723 |
| Street Address |
140 CHARLOIS BLVD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-1522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477549707 | Robert James Evans IIi | Urology | 140 Charlois Blvd, Winston Salem, NC 27103-1522 | 2005-09-22 |
| 1013492180 | Samuel Sparrow Pendergraft | Physician Assistant | 140 Charlois Blvd, Winston Salem, NC 27103-1522 | 2018-09-25 |
| 1275031809 | Kristen Earwood | Physician Assistant | 140 Charlois Blvd, Winston Salem, NC 27103-1522 | 2018-01-29 |
| 1043613730 | Megan Koonts Payne | Physician Assistant | 140 Charlois Blvd, Winston Salem, NC 27103-1522 | 2014-10-08 |
| 1558762187 | Hooman Sadri-ardekani | Urology | 140 Charlois Blvd, Winston Salem, NC 27103-1522 | 2014-09-15 |
| 1215370606 | Kyle Scarberry | Urology | 140 Charlois Blvd, Winston Salem, NC 27103-1522 | 2013-04-16 |
| 1518219864 | Jorge Gutierrez-aceves | Urology | 140 Charlois Blvd, Winston Salem, NC 27103-1522 | 2012-10-11 |
| 1609133081 | Ram Anil Pathak | Urology | 140 Charlois Blvd, Winston Salem, NC 27103-1522 | 2012-04-23 |
| 1184860421 | Majid Mirzazadeh | Urology | 140 Charlois Blvd, Winston Salem, NC 27103-1522 | 2008-12-16 |
| 1295928539 | Ashok Kumar Hemal | Urology | 140 Charlois Blvd, Winston Salem, NC 27103-1522 | 2007-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| 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 |
| 1144887019 | Shuo Liu | Urology | Department of Urology Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2019-05-25 |
| 1679848592 | Lysanne Campeau | Urology | 391 Technology Way, Winston Salem, NC 27101-3074 | 2012-03-09 |
| 1275736795 | Forsyth Memorial Hospital Inc | Urology | 2010 Baldwin Lane, Winston Salem, NC 27103 | 2007-06-11 |
| 1972566297 | Oliver James Hart Jr. | Urology | 180 Kimel Park Dr Ste 110, Winston Salem, NC 27103-6970 | 2006-04-08 |
| 1477540466 | John J Smith IIi | Urology | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 | 2005-10-04 |
| 1477549707 | Robert James Evans IIi | Urology | 140 Charlois Blvd, Winston Salem, NC 27103-1522 | 2005-09-22 |
| 1548877939 | Sarah Katherine Ebersold | Urology | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 | 2020-09-29 |
| 1235629890 | Forsyth Memorial Hospital, Inc | Urology | 140 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6160 | 2018-05-18 |
| 1992161665 | Novant Medical Group Inc | Urology | 140 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6160 | 2016-01-11 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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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.