Piedmont Urology, PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

PIEDMONT UROLOGY, PLLC

Practice address

1915 W Park Dr
Suite 101
North Wilkesboro, NC 28659-3511

Phone

(336) 838-5655

Fax

(336) 838-7556

NPI assigned

Nov 6, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Janaka A Hettiarachchi, D.O.

Title

Ower

Phone

(336) 838-5655

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1104006311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 W PARK DR",
            "address_2": "SUITE 101",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593511",
            "telephone_number": "336-838-5655",
            "fax_number": "336-838-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 W PARK DR",
            "address_2": "SUITE 101",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593511",
            "telephone_number": "336-838-5655",
            "fax_number": "336-838-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT UROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "HETTIARACHCHI",
        "authorized_official_first_name": "JANAKA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWER",
        "authorized_official_telephone_number": "336-838-5655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Marvin Brame DDS Ms PA
• Charles Henry Phillips III, P.A.
• Tate Johnathan Phillips, PA
• Physical Therapy Associates of Wilkes LLC
• Piedmont Stone Center
• Traci B Pierce, PHARM.D.
• Jennifer M Pillow, LAT, ATC
• Andrew Clifford Pinkerton, PA-C
• Whitney Marie Plunkett, M.D.
• John Tucker Hayward Pontzer, M.D.

• All providers in North Wilkesboro, NC
• Urology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.