RALEIGH UROLOGY PA (NPI# 1891963120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891963120 |
| Entity Type | Organization |
| Organization Name | RALEIGH UROLOGY PA |
| Practice Address |
4201 Lake Boone Trl Ste 205 Raleigh NC 27607-7511 |
| Practice Telephone | 9195716460 |
| Mailing Telephone | 9195716460 |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2010-07-07 |
| Authorized Official Name | DR. JOSEPH MICHAEL KHOURY (OWNER) |
| Authorized Official Telephone | 9195716460 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 38995 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
4201 LAKE BOONE TRL STE 205 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-7511 |
| 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 |
| 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 |
| 1427469444 | Wake Specialty Physicians, LLC | Urology | 23 Sunnybrook Rd, Raleigh, NC 27610-1855 | 2014-05-13 |
| 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.