CALDWELL MEMORIAL HOSPITAL, INC. (NPI# 1538276100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538276100 |
| Entity Type | Organization |
| Organization Name | CALDWELL MEMORIAL HOSPITAL, INC. |
| Other Organization Name | CALDWELL UROLOGY ASSOCIATES |
| Practice Address |
401 Mulberry St Sw Suite 210 Lenoir NC 28645-5463 |
| Mailing Address |
321 Mulberry St Sw Medical Staff Services Lenoir NC 28645-5720 |
| Practice Telephone | 8287576431 |
| Practice Fax Number | 8287576432 |
| Mailing Telephone | 8287575965 |
| Mailing Fax Number | 8287575104 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2019-08-01 |
| Authorized Official Name | REBECCA T SMITH (VP/ COO/CNO) |
| Authorized Official Telephone | 8287575100 |
| Is Organization Subpart | Y |
| Parent Organization Name | CALDWELL MEMORIAL HOSPITAL, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | RR MEDICARE | DB4581 | 01 |
| NC | 890284B | 05 |
| Other Name | Type Code |
|---|---|
| Caldwell Urology Associates | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8439 Valley Blvd, Blowing Rock, NC 286058957 | 8287576431 | 8287576432 |
| 160 River Bend Dr Ste A, Granite Falls, NC 286309371 | 8287576431 | 8287576432 |
| 4355 Hickory Blvd Ste 1, Granite Falls, NC 286305463 | 8287576431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619220035 | Caldwell Memorial Hospital, Inc. | Family Medicine | 201 Industrial Ct, Lenoir, NC 28645-8174 | 2012-10-23 |
| 1396911574 | Caldwell Memorial Hospital, Inc. | Clinic/Center | 3286 Oak St, Wisner, LA 71378 | 2008-05-07 |
| 1144402157 | Caldwell Memorial Hospital, Inc. | Family Medicine | 1766 Connelly Springs Road, Lenoir, NC 28645-7827 | 2007-11-30 |
| 1538783915 | Caldwell Memorial Hospital, Inc. | Physician Assistant | 321 Mulberry St Sw, Lenoir, NC 28645-5720 | 2020-06-02 |
| 1245734995 | Caldwell Memorial Hospital, Inc. | Internal Medicine | 212 Mulberry St Sw, Lenoir, NC 28645-5414 | 2018-03-19 |
| 1245757764 | Caldwell Memorial Hospital, Inc. | Podiatrist | 401 Mulberry St Sw Ste 102, Lenoir, NC 28645-5463 | 2017-08-25 |
| 1417483728 | Caldwell Memorial Hospital, Inc. | Internal Medicine | 160 River Bend Drive, Suite A, Lenoir, NC 28630 | 2017-05-05 |
| 1184174542 | Caldwell Memorial Hospital, Inc. | Internal Medicine | 270 Pine Mountain Rd, Suite 5, Hudson, NC 28638-2605 | 2016-10-10 |
| 1578949079 | Caldwell Memorial Hospital, Inc. | Family Medicine | 8439 Valley Blvd, Blowing Rock, NC 28605-9052 | 2015-08-06 |
| 1922426220 | Caldwell Memorial Hospital, Inc. | Internal Medicine | 212 Mulberry St Sw, Lenoir, NC 28645-5414 | 2014-04-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CALDWELL MEMORIAL HOSPITAL, INCORPORATED | 321 Mulberry St Sw, Lenoir, NC 28645-5720 |
| Street Address |
401 MULBERRY ST SW SUITE 210 |
| City | LENOIR |
| State | NC |
| Zip Code | 28645-5463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811969140 | Brian C Tyler | Pediatrics | 401 Mulberry St Sw, Lenoir, NC 28645-5463 | 2006-02-02 |
| 1528500915 | Matthew Dollyhite | Orthotist | 401 Mulberry St Sw, Ste 109, Lenoir, NC 28645-5463 | 2016-11-16 |
| 1376983171 | Caldwell Memorial Hospital, Inc. | Surgery | 401 Mulberry St Sw, Suite 202, Lenoir, NC 28645-5463 | 2013-06-26 |
| 1194975854 | Level Four Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 401 Mulberry St Sw, Suite 109, Lenoir, NC 28645-5463 | 2008-09-30 |
| 1134327141 | Gregory D. Haynes, Md P.C. | Internal Medicine | 401 Mulberry St Sw, Suite 206, Lenoir, NC 28645-5463 | 2007-07-11 |
| 1730269002 | Thomas A Pezzi | Surgery | 401 Mulberry St Sw, Suite 202, Lenoir, NC 28645-5463 | 2006-10-17 |
| 1548365364 | Lonnie Newell Shull Jr. | Surgery | 401 Mulberry St Sw, Ste 101, Lenoir, NC 28645-1648 | 2006-09-14 |
| 1144330747 | Gregory Delano Haynes | Internal Medicine | 401 Mulberry St Sw, Suite 206, Lenoir, NC 28645-5463 | 2006-08-30 |
| 1235247933 | Carolina Ear, Nose & Throat Head and Neck Surgery Center | Otolaryngology | 401 Mulberry St Sw, Suite 105, Lenoir, NC 28645-5463 | 2006-08-25 |
| 1225142011 | Horizon Surgical Specialists Pa | Surgery | 401 Mulberry St Sw, Ste 101, Lenoir, NC 28645-1648 | 2006-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477174597 | Healthstat Onsite Clinic Mccreary Modern Plant 6 | Preventive Medicine | 2961 Rocky Road, Lenoir, NC 28645 | 2020-04-29 |
| 1912485780 | Brandi Fitzgerald Newell | Nurse Practitioner | 902 Kirkwood Street Nw, Lenoir, NC 28645 | 2018-08-02 |
| 1568911345 | Kimberly Fletcher | Physical Therapist | 1031 Morganton Blvd. Sw, Lenoir, NC 28645 | 2016-09-22 |
| 1093115743 | Dana May Yang | Pharmacist | 875 Blowing Road Blvd, Lenior, NC 28645 | 2014-08-31 |
| 1659780542 | Brinkley & Associates of Lenoir | Dentist | 230 Morganton Boulevard Sw, Lenoir, NC 28645 | 2014-08-05 |
| 1194148858 | Cheryl Ann Simpson | Contractor | 7951 Rocky Knob Rd, Lenoir, NC 28645 | 2014-01-30 |
| 1013266048 | Mccreary Cancer Center | Clinic/Center | 212 Mulberry Street Sw, Lenoir, NC 28645 | 2012-09-06 |
| 1356651145 | Anthony Kwasi Essien | Pharmacist | 102 Harper Ave., Lenoir, NC 28645 | 2010-10-14 |
| 1033344866 | Thomas J Young | Surgery | 401 Mulberry Street, Sw, Suite 202, Lenoir, NC 28645 | 2009-05-22 |
| 1821238155 | Mark C Kammer | Physical Therapist | 1041 Morganton Blvd, Ste 200, Lenoir, NC 28645 | 2009-02-26 |
| Find all providers in zip 28645 | ||||
| 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 |
|---|---|---|---|---|
| 1497717987 | David O Cook | Urology | 401 Mulberry St Sw Ste 210, Lenoir, NC 28645-5463 | 2006-04-03 |
| 1134152333 | Ralph H. Duckett | Urology | 401 Mulberry St Sw Ste 210, Lenoir, NC 28645-5463 | 2006-07-09 |
| 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 |
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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.