NOVANT HEALTH CAROLINA UROLOGICAL ASSOCIATES (NOVANT MEDICAL GROUP INC) NPI 1992161665

Urology in Winston Salem, NC

Organization Urology

About NOVANT HEALTH CAROLINA UROLOGICAL ASSOCIATES (NOVANT MEDICAL GROUP INC)

Novant Health Carolina Urological Associates (novant Medical Group Inc) is a provider established in Winston Salem, North Carolina specializing in urology. The NPI number of Novant Health Carolina Urological Associates (novant Medical Group Inc) is 1992161665 and was assigned on January 2016. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Novant Health Carolina Urological Associates (novant Medical Group Inc) operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Novant Health Carolina Urological Associates. The authorized official of this NPI record is Geoffrey K Gardner (Vp Of Finance)

NPI

1992161665

Provider NameNOVANT HEALTH CAROLINA UROLOGICAL ASSOCIATES (NOVANT MEDICAL GROUP INC)
Provider Location Address140 KIMEL PARK DR STE 100 WINSTON SALEM, NC 27103
Provider Mailing AddressPO BOX 60447 CHARLOTTE, NC 28260
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameNOVANT HEALTH CAROLINA UROLOGICAL ASSOCIATES
Other Name TypeDoing Business As (3)
Enumeration Date01-11-2016
Last Update Date07-25-2017

Primary Taxonomy

Taxonomy Code208800000X
ClassificationUrology
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionA 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.

Business Address

NOVANT HEALTH CAROLINA UROLOGICAL ASSOCIATES
140 KIMEL PARK DR STE 100
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 245-2100
Fax: (336) 768-7782

Get Directions

Mailing Address

NOVANT HEALTH CAROLINA UROLOGICAL ASSOCIATES
PO BOX 60447
CHARLOTTE, NC
ZIP 28260
Phone:
Fax: (336) 768-7782

Authorized Official

Authorized Official Name GEOFFREY K GARDNER
Authorized Official TitleVP OF FINANCE
Authorized Official Phone(336) 245-2100

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235629890FORSYTH MEMORIAL HOSPITAL, INC
Organization
Urology140 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
(336) 245-2100
1578583829DR. JUDSON DANIELL RACKLEY MD
Individual
Urology140 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
(336) 245-2100
1730148263MR. CANIO THOMAS MARCANTONIO P.A.
Individual
Physician Assistant140 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
(336) 245-2100
1790334662 MARTHA GABRIELLE HUNT PA-C
Individual
Physician Assistant140 KIMEL PARK DR STE 100
WINSTON SALEM, NC 27103
(336) 245-2100

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.