STEPHEN ERNEST MCKIM (NPI# 1629239256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629239256 |
| Entity Type | Individual |
| Full Name | STEPHEN ERNEST MCKIM |
| Credential | MD |
| Practice Address |
12610 N Community House Rd Ste 100 Charlotte NC 28277-3892 |
| Mailing Address |
9735 Kincey Ave Suite 201 Huntersville NC 28078-9118 |
| Practice Telephone | 7047523730 |
| Practice Fax Number | 7047529056 |
| Mailing Telephone | 7044142870 |
| Mailing Fax Number | 7044142860 |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2019-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | 36486 | SC | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 2013-00734 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NC2277 | 05 |
| Street Address |
12610 N COMMUNITY HOUSE RD STE 100 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28277-3892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306832696 | Todd Douglas Cohen | Urology | 12610 N Community House Rd Ste 100, Charlotte, NC 28277-3892 | 2005-09-22 |
| 1619490372 | Amanda Drake Myers | Nurse Practitioner | 12610 N Community House Rd Ste 100, Charlotte, NC 28277-3892 | 2017-07-24 |
| 1154690998 | Piedmont Pharmacy LLC | Pharmacy | 12610 N Community House Rd Ste 100, Charlotte, NC 28277-3892 | 2011-12-23 |
| 1912926668 | Arthur J Lim | Urology | 12610 N Community House Rd Ste 100, Charlotte, NC 28277-3892 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949731 | New Life Peer Support and Coaching LLC | Clinic/Center | 3450 Toringdon Way, Suite 200, Charlotte, NC 28277 | 2020-07-21 |
| 1083256762 | Speak Life Counseling Services, Pllc | Counselor | 16147 Lacaster Hwy, Suite 110, Charlotte, NC 28277 | 2019-10-14 |
| 1275010019 | Jigneshkumar R Mistry | Pharmacist | 11805 Allforth Ln Apt 2105, Charlotte, NC 28277 | 2018-07-24 |
| 1255825410 | Novant Medical Group Inc. | Family Medicine | 15033 Balloncroft Parkway, Suite 200, Charlotte, NC 28277 | 2018-06-20 |
| 1447752316 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 11135 Golf Links Dr, Charlotte, NC 28277 | 2018-03-06 |
| 1932607595 | Charlotte Proactive Md PC | Clinic/Center | 11220 Golf Links Drive North, Charlotte, NC 28277 | 2018-01-30 |
| 1003331521 | Accela Spine and Pain, Pllc | Anesthesiology | 10120 Ivey Chase Lane, Apt 617, Charlotte, NC 28277 | 2017-08-04 |
| 1265961619 | Dominicka Whitaker | Counselor | 12365 Bluestem Ln., Charlotte, NC 28277 | 2017-06-08 |
| 1083143408 | Monika D Hayes | Counselor | 11330 Snapfinger Drive, Charlotte, NC 28277 | 2017-06-08 |
| 1225582984 | Danielle Mcdaniel | Occupational Therapist | 5113 Piper Station Dr Ste 103, Charlotte, NC 28277 | 2016-08-11 |
| Find all providers in zip 28277 | ||||
| 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 |
|---|---|---|---|---|
| 1942833678 | Joshua Daniel Howell | Urology | 10650 Park Rd Ste 320, Charlotte, NC 28210-8543 | 2020-02-21 |
| 1427563725 | Hifu Prostate Services, LLC | Urology | 4108 Park Rd Ste 205, Charlotte, NC 28209-2260 | 2017-12-08 |
| 1689618225 | Daniel Lee Watson | Urology | 325 Hawthorne Ln Ste 300, Charlotte, NC 28204-2433 | 2006-06-15 |
| 1972542298 | Chris Teigland | Urology | 1023 Edgehill Rd S, Charlotte, NC 28207-1829 | 2006-06-05 |
| 1306832696 | Todd Douglas Cohen | Urology | 12610 N Community House Rd Ste 100, Charlotte, NC 28277-3892 | 2005-09-22 |
| 1881222669 | Charles Ellis | Urology | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2020-03-29 |
| 1902366222 | Samuel J Ivan | Urology | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2019-03-22 |
| 1487034146 | Daniel Edwards | Urology | 1021 Morehead Medical Dr, Ste 6100, Charlotte, NC 28204-2990 | 2015-06-08 |
| 1598022089 | Maxim Mckibben | Urology | 1023 Edgehill Rd S, Charlotte, NC 28207-1829 | 2012-04-20 |
| 1295008324 | Justin Matulay | Urology | 101 E W T Harris Blvd, Ste 5500, Charlotte, NC 28262-3485 | 2012-02-21 |
| Find all providers in CHARLOTTE | ||||
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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.