CAPITOL UROLOGY, PA (NPI# 1992898076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992898076 |
| Entity Type | Organization |
| Organization Name | CAPITOL UROLOGY, PA |
| Practice Address |
2724 Middleburg Dr Columbia SC 29204-2437 |
| Practice Telephone | 8032516602 |
| Practice Fax Number | 8032516605 |
| Mailing Telephone | 8032516602 |
| Mailing Fax Number | 8032516605 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-11-30 |
| Authorized Official Name | DR. THOMAS B EDMUNDS JR. (PHYSICIAN OWNER) |
| Authorized Official Telephone | 8032516602 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP4640 | 05 |
| Street Address |
2724 MIDDLEBURG DR |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-2437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962443887 | Thomas B Edmunds | Urology | 2724 Middleburg Dr, Columbia, SC 29204-2437 | 2006-06-10 |
| 1366815136 | Middleburg Oral Surgery | General Acute Care Hospital | 2724 Middleburg Dr, Suite A, Columbia, SC 29204-2437 | 2015-11-03 |
| 1801074695 | Robert Herron Blease Sr. | Dentist | 2724 Middleburg Dr, Columbia, SC 29204-2437 | 2008-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| 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 |
|---|---|---|---|---|
| 1225699408 | Garth Sherman | Urology | 1 Hospital Dr # Mc301, Columbia, MO 65201-5276 | 2019-06-27 |
| 1902326622 | Alexander Anderson | Urology | 1 Hospital Drive University of Missouri Mc404, Columbia, MO 65212-0001 | 2017-06-23 |
| 1649633736 | Jack Campbell | Urology | 3101 Belinda Ct, Columbia, MO 65203-3848 | 2016-04-05 |
| 1336567353 | Katherine Smentkowski | Urology | 10710 Charter Dr Ste 130, Columbia, MD 21044-3258 | 2014-04-07 |
| 1083032445 | Boston Medical Group- Maryland, P.C. | Urology | 5500 Knoll Drive, Suite 220, Columbia, MD 21045 | 2014-04-02 |
| 1104087584 | Jennifer L Bepple | Urology | 10710 Charter Dr., Suite 130, Columbia, MD 21044-3128 | 2008-06-19 |
| 1740365857 | John Mark Mcmurtry | Urology | 3315 Berrywood Dr, Suite 201, Columbia, MO 65201-6571 | 2006-10-26 |
| 1962443887 | Thomas B Edmunds | Urology | 2724 Middleburg Dr, Columbia, SC 29204-2437 | 2006-06-10 |
| 1922099407 | Rex Brugh IIi | Urology | 9 Richland Medical Park, Suite 500, Columbia, SC 29203-6859 | 2005-11-02 |
| 1265433916 | Charlotte Anne Batey | Urology | 1407 Hatcher Ln, Columbia, TN 38401-3535 | 2005-08-03 |
| Find all providers in COLUMBIA | ||||
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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.