ASSOCIATED UROLOGISTS OF NORTH CAROLINA PA (NPI# 1871876441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871876441 |
| Entity Type | Organization |
| Organization Name | ASSOCIATED UROLOGISTS OF NORTH CAROLINA PA |
| Practice Address |
4301 Lake Boone Trl Suite 300 Raleigh NC 27607-7507 |
| Mailing Address |
2801 Blue Ridge Rd Suite 110 Raleigh NC 27607-6474 |
| Practice Telephone | 9197821255 |
| Practice Fax Number | 9197826056 |
| Mailing Telephone | 9197588677 |
| Mailing Fax Number | 9197588723 |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |
| Authorized Official Name | MARK W JALKUT (PRESIDENT) |
| Authorized Official Telephone | 9197821255 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | ASSOCIATED UROLOGISTS OF NORTH CAROLINA PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841560380 | Associated Urologists of North Carolina Pa | Pharmacy | 160 Macgregor Pines Dr Ste 205, Cary, NC 27511-6037 | 2011-12-30 |
| 1700155462 | Associated Urologists of North Carolina Pa | Pharmacy | 2800 Blue Ridge Rd Ste 405, Raleigh, NC 27607-6476 | 2011-12-23 |
| 1417226176 | Associated Urologists of North Carolina Pa | Pharmacy | 3200 Blue Ridge Rd Ste 118, Raleigh, NC 27612-8087 | 2011-12-23 |
| 1982986055 | Associated Urologists of North Carolina Pa | Urology | 160 Macgregor Pines Drive, Suite 205, Cary, NC 27511-6037 | 2011-09-15 |
| 1801178934 | Associated Urologists of North Carolina Pa | Urology | 100 S Tenth Street, Lillington, NC 27546-6690 | 2011-09-14 |
| 1255613394 | Associated Urologists of North Carolina Pa | Urology | 1904 S Main Street, Suite 114, Wake Forest, NC 27587-5030 | 2011-09-14 |
| 1477835502 | Associated Urologists of North Carolina Pa | Urology | 3200 Blue Ridge Road, Suite 118, Raleigh, NC 27612-8087 | 2011-09-14 |
| 1295016525 | Associated Urologists of North Carolina Pa | Urology | 358 Northeast Blvd, Clinton, NC 28328-2424 | 2011-08-31 |
| 1023399359 | Associated Urologists of North Carolina Pa | Urology | 95 Springbrook Ave Ste 109, Clayton, NC 27520-5308 | 2011-08-31 |
| 1952867095 | Associated Urologists of North Carolina Pa | Non-Pharmacy Dispensing Site | 3821 Ed Dr, Raleigh, NC 27612-8038 | 2019-02-13 |
| Street Address |
4301 LAKE BOONE TRL SUITE 300 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-7507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061348 | Keith P Mankin | Orthopaedic Surgery | 4301 Lake Boone Trl, Ste 205, Raleigh, NC 27607-7507 | 2005-05-24 |
| 1518389550 | Mary J. Forbes, Md, Pllc | Internal Medicine | 4301 Lake Boone Trl, Ste 208, Raleigh, NC 27607-7507 | 2014-01-10 |
| 1841621281 | Raleigh Durham Medical Group, Pa | Orthopaedic Surgery | 4301 Lake Boone Trl, Suite 205, Raleigh, NC 27607-7507 | 2013-12-11 |
| 1255599619 | Zarzar Psychiatric Associates Pllc | Psychiatry & Neurology | 4301 Lake Boone Trl, Suite 210, Raleigh, NC 27607-7507 | 2008-06-01 |
| 1558568626 | Piedmont Cardiology Pa | Internal Medicine | 4301 Lake Boone Trl, Suite 309, Raleigh, NC 27607-7507 | 2007-06-30 |
| 1669694154 | Whiteside and Daniel, P.a. | Psychologist | 4301 Lake Boone Trl, Suite 208, Raleigh, NC 27607-7507 | 2007-05-03 |
| 1275692667 | Wake Urological Associates, P.a. | Urology | 4301 Lake Boone Trl, Suite 300, Raleigh, NC 27607-7507 | 2006-12-08 |
| 1003822511 | Richard D Kane | Urology | 4301 Lake Boone Trl, Suite 300, Raleigh, NC 27607-7507 | 2006-08-01 |
| 1164445961 | David Paul Zarzar | Psychiatry & Neurology | 4301 Lake Boone Trl, Ste 210, Raleigh, NC 27607-7507 | 2006-07-25 |
| 1578533931 | Sidney Loy Gulledge IIi | Ophthalmology | 4301 Lake Boone Trl, Ste 200, Raleigh, NC 27607-7507 | 2006-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| 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 |
|---|---|---|---|---|
| 1720427289 | Ajaydeep Singh Sidhu | Urology | 23 Sunnybrook Rd Ste 310, Raleigh, NC 27610-1874 | 2013-06-18 |
| 1477835502 | Associated Urologists of North Carolina Pa | Urology | 3200 Blue Ridge Road, Suite 118, Raleigh, NC 27612-8087 | 2011-09-14 |
| 1770710691 | Capital Urological Associates, P.a. | Urology | 3320 Wake Forest Road, Suite 320, Raleigh, NC 27609 | 2009-06-18 |
| 1891963120 | Raleigh Urology Pa | Urology | 4201 Lake Boone Trl Ste 205, Raleigh, NC 27607-7511 | 2008-02-20 |
| 1437369691 | Emil Mitter Kheterpal | Urology | 3821 Ed Drive, Raleigh, NC 27612 | 2007-05-23 |
| 1477520088 | Carolina Specialty Oncology, Pa | Urology | 117 Sunnybrook Rd, Raleigh, NC 27610-1827 | 2006-03-02 |
| 1891786091 | John Victor Kaspar | Urology | 3821 Ed Dr, Raleigh, NC 27612-8038 | 2005-11-04 |
| 1205491487 | Wakemed Specialists Group LLC | Urology | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2019-05-03 |
| 1144767260 | Associated Urologists of North Carolina, Pa | Urology | 10208 Cerny St, Suite 202, Raleigh, NC 27617-7884 | 2017-01-26 |
| 1497166334 | Wake Specialty Physicians, LLC | Urology | 3024 New Bern Ave, Raleigh, NC 27610-1247 | 2014-05-14 |
| Find all providers in RALEIGH | ||||
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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.