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PROVIDENCE UROLOGY, PLLC
NPI 1255537403
Urology in Monroe, NC

Active since June 25, 2007
1428 ELLEN ST, SUITE A, MONROE, NC 28112(704) 289-4361(704) 283-4705 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Providence Urology, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENCE UROLOGY, PLLC (NPI 1255537403) is a healthcare organization registered as an urology in Monroe, North Carolina and active in the NPI registry since June 2007. The organization lists Arthur J. Lim, Physician/co-owner, as its authorized official.

NPPES Registry Identity

NPI1255537403
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NamePROVIDENCE UROLOGY, PLLC
Location Address1428 ELLEN ST, SUITE AMonroe, NC 28112-5285
Mailing Address1428 Ellen St, Suite AMonroe, NC 28112-5285 · (704) 289-4361 · Fax (704) 283-4705
Phone(704) 289-4361
Fax(704) 283-4705
Organization SubpartNo
Authorized OfficialArthur J. LimPhysician/co-owner · (704) 289-4361
Enumeration DateJune 25, 2007
Last NPPES UpdateJuly 21, 2022
✔ NPI 1255537403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in NC · 200000981✔ Licensed in NC · 200101464
Definition
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.
Also ListedSpecialistTaxonomy 174400000X
1428 ELLEN ST, Monroe, NC 28112
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. THOMAS C LEITNER M.D.
Specialist
1428 ELLEN ST, SUITE A
MONROE, NC 28112
Union County (704) 289-4361
TOTAL CARE SERVICES, INC.
Durable Medical Equipment & Medical Supplies
1428 ELLEN ST, SUITE C
MONROE, NC 28112
Union County (704) 238-1707

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Urology, PLLC's NPI number?

The NPI number for Providence Urology, PLLC is 1255537403. It was assigned to this organization in the NPPES registry on June 25, 2007.

Where is Providence Urology, PLLC located?

Providence Urology, PLLC is located at 1428 Ellen St Suite A, Monroe, NC 28112. The listed phone number is (704) 289-4361.

What is Providence Urology, PLLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Providence Urology, PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.