DR. PAUL M RODENBERGER (NPI# 1518062108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518062108 |
| Entity Type | Individual |
| Full Name | DR. PAUL M RODENBERGER |
| Credential | MD |
| Practice Address |
631 Cox Rd Gastonia NC 28054-3438 |
| Mailing Address |
9735 Kincey Ave Ste 201 Huntersville NC 28078-9118 |
| Practice Telephone | 7048647764 |
| Practice Fax Number | 7048677894 |
| Mailing Telephone | 7044142870 |
| Mailing Fax Number | 7044142860 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2011-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD419357 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GATEWAY | 1539492 | 01 | |
| NC | NORTH CAROLINA MEDICAL | 200700992 | 01 |
| PA | UPMC | 410300 | 01 |
| RAILROAD MEDICARE | P00145053 | 01 | |
| PA | 1123222 | 05 | |
| PA | HIGHMARK BLUE SHIELD | 1612733 | 01 |
| Street Address |
631 COX RD |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-3438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841260270 | Anne Klugo-fetting | Physician Assistant | 631 Cox Rd, Gastonia, NC 28054-3438 | 2006-01-26 |
| 1346768165 | Ashley Waller Starnes | Nurse Practitioner | 631 Cox Rd, Gastonia, NC 28054-3438 | 2017-08-31 |
| 1386939775 | Brian James Budzyn | Urology | 631 Cox Rd, Gastonia, NC 28054-3438 | 2011-06-14 |
| 1922280973 | Ciamack Kamdar | Urology | 631 Cox Rd, Gastonia, NC 28054-3438 | 2007-12-02 |
| 1457496853 | Mary Jane Gerstein | Nurse Practitioner | 631 Cox Rd, Gastonia, NC 28054-3438 | 2007-02-21 |
| 1437106168 | Gaston Urological Associates, P.a. | Urology | 631 Cox Rd, Gastonia, NC 28054-3438 | 2006-05-28 |
| 1023060068 | Barry Russell Lee | Urology | 631 Cox Rd, Gastonia, NC 28054-3438 | 2006-05-17 |
| 1295787174 | Rodney Wilson Smith | Urology | 631 Cox Rd, Gastonia, NC 28054-3438 | 2006-05-17 |
| 1700838125 | John Bostian Garrett Jr. | Urology | 631 Cox Rd, Gastonia, NC 28054-3438 | 2006-05-16 |
| 1407805823 | Brian Derek Buzzeo | Urology | 631 Cox Rd, Gastonia, NC 28054-3438 | 2006-05-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| 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 |
|---|---|---|---|---|
| 1184626350 | Piedmont Urology Associates Pa | Urology | 924 Cox Rd, Gastonia, NC 28054-3456 | 2005-06-01 |
| 1386939775 | Brian James Budzyn | Urology | 631 Cox Rd, Gastonia, NC 28054-3438 | 2011-06-14 |
| 1396068151 | Carolinas Physicians Network, Inc. | Urology | 2550 Court Dr, Suite 203, Gastonia, NC 28054-2152 | 2010-03-09 |
| 1922280973 | Ciamack Kamdar | Urology | 631 Cox Rd, Gastonia, NC 28054-3438 | 2007-12-02 |
| 1437106168 | Gaston Urological Associates, P.a. | Urology | 631 Cox Rd, Gastonia, NC 28054-3438 | 2006-05-28 |
| 1023060068 | Barry Russell Lee | Urology | 631 Cox Rd, Gastonia, NC 28054-3438 | 2006-05-17 |
| 1295787174 | Rodney Wilson Smith | Urology | 631 Cox Rd, Gastonia, NC 28054-3438 | 2006-05-17 |
| 1700838125 | John Bostian Garrett Jr. | Urology | 631 Cox Rd, Gastonia, NC 28054-3438 | 2006-05-16 |
| 1407805823 | Brian Derek Buzzeo | Urology | 631 Cox Rd, Gastonia, NC 28054-3438 | 2006-05-10 |
| 1508852104 | Robert Lee Waterhouse Jr. | Urology | 924 Cox Rd, Gastonia, NC 28054-3456 | 2005-09-20 |
| Find all providers in GASTONIA | ||||
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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.