DR. DOUGLAS ALAN ELLER (NPI# 1821032418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821032418 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS ALAN ELLER |
| Credential | MD |
| Practice Address |
1202 N Center St Hickory NC 28601 |
| Mailing Address |
1202 N Center St Hickory NC 28601-3760 |
| Practice Telephone | 8283224344 |
| Practice Fax Number | 8283238450 |
| Mailing Telephone | 8283224344 |
| Mailing Fax Number | 8283238450 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2018-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 9800524 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8911465 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 401 Mulberry St Sw Ste 210, Lenoir, NC 286455463 | 8287576431 | 8287576432 |
| Street Address |
1202 N CENTER ST |
| City | HICKORY |
| State | NC |
| Zip Code | 28601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023057049 | Edward Roland Gerrard Jr. | Urology | 1202 N Center St, Hickory, NC 28601-3760 | 2006-06-05 |
| 1962024521 | Christina Katherine Goudreau | Physician Assistant | 1202 N Center St, Hickory, NC 28601-3760 | 2020-05-17 |
| 1043236177 | Mark Jerome Anderson | Urology | 1202 N Center St, Hickory, NC 28601-3760 | 2006-07-14 |
| 1962435529 | Viewmont Urology Clinic, Pa | Urology | 1202 N Center St, Hickory, NC 28601-3760 | 2006-07-08 |
| 1225072861 | David Madison Hardaway | Urology | 1202 N Center St, Hickory, NC 28601-3760 | 2006-06-15 |
| 1154360121 | Geoffrey Donald Deleary | Urology | 1202 N Center St, Hickory, NC 28601-3760 | 2006-06-05 |
| 1104865187 | Edward Roland Gerrard Sr. | Urology | 1202 N Center St, Hickory, NC 28601-3760 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555236 | Mathew Ryan Dunn | Specialist/Technologist | 755 5th St Ne, Hickory, NC 28601 | 2020-10-14 |
| 1669086757 | Alex Neil Hines | Massage Therapist | 2759 North Center Street, Hickory, NC 28601 | 2020-09-04 |
| 1306327515 | Natasha Anderson | Nurse Practitioner | 2830 16th St Ne Apt 94, Hickory, NC 28601 | 2018-08-25 |
| 1902382120 | Danielle Marie Cisney | Counselor | 1219 10th Street Blvd Nw Apt F, Hickory, NC 28601 | 2018-07-11 |
| 1295243681 | Maggie Isabelle Mccarrick | Specialist/Technologist | 2225 6th St Nw, Hickory, NC 28601 | 2018-01-19 |
| 1487165395 | Healthstat Onsite Clinic Hsm Metal | Preventive Medicine | 180 Mcdonald Parkway Sw, Hickory, NC 28601 | 2017-10-18 |
| 1407249691 | Alexcia Dawn Pennell | Registered Nurse | 1501 Tate Blvd Sw, Suite 201, Hickory, NC 28601 | 2015-03-11 |
| 1134527484 | Pamilla Griffin Yount | Specialist | 825 3rd Ave. Nw, Hickory, NC 28601 | 2014-12-18 |
| 1831593615 | Josephine Lovelace Polhemus | Pharmacist | 12th Avenue Ne, Hickory, NC 28601 | 2014-10-22 |
| 1275957128 | Amy Lor | Acupuncturist | 46 Cloninger Mill Rd Ne Ste E, Hickory, NC 28601 | 2014-02-13 |
| Find all providers in zip 28601 | ||||
| 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 |
|---|---|---|---|---|
| 1235383381 | Heather Lynn Willis | Urology | 1202 North Center Street, Hickory, NC 28601-3760 | 2008-11-14 |
| 1609996537 | Matthew Aaron Creighton | Urology | 1202 N. Center Street, Viewmont Urology Clinic, Pa, Hickory, NC 28601-3760 | 2007-04-02 |
| 1023057049 | Edward Roland Gerrard Jr. | Urology | 1202 N Center St, Hickory, NC 28601-3760 | 2006-06-05 |
| 1043236177 | Mark Jerome Anderson | Urology | 1202 N Center St, Hickory, NC 28601-3760 | 2006-07-14 |
| 1962435529 | Viewmont Urology Clinic, Pa | Urology | 1202 N Center St, Hickory, NC 28601-3760 | 2006-07-08 |
| 1225072861 | David Madison Hardaway | Urology | 1202 N Center St, Hickory, NC 28601-3760 | 2006-06-15 |
| 1154360121 | Geoffrey Donald Deleary | Urology | 1202 N Center St, Hickory, NC 28601-3760 | 2006-06-05 |
| 1104865187 | Edward Roland Gerrard Sr. | Urology | 1202 N Center St, Hickory, NC 28601-3760 | 2006-06-05 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.