Active NPI
Wayne Allen Cline Jr., MD
- Urology Physician
- Salisbury, NC
National Provider Identifier
1114900776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 26095
- Practice address
- 911 W Henderson St
Ste 110
Salisbury, NC 28144-2736 - Phone
- (704) 633-9441
- NPI assigned
- Nov 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 26095 | NC | Primary |
Addresses
Primary practice location
911 W Henderson St
Ste 110
Salisbury, NC 28144-2736
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 633-9441
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8923041 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26095 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445385600000",
"number": "1114900776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-633-9441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 W HENDERSON ST",
"address_2": "STE 110",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281442736",
"telephone_number": "704-633-9441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLINE",
"first_name": "WAYNE",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-28",
"last_updated": "2015-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NC",
"license": "26095",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8923041",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, NC
- Kenneth Bryan Clark, PA
- Robert Andrew Clarke, CADC
- William Deavor Clarke, PHYSICAL THERAPIST
- Pamela Lynn Clay, FNP
- Ashleigh Lynn Cline, OTA/L
- Brittany Phillips Clodfelter, DPT
- Chad Everett Clodfelter, B.S. PHARMACY
- Julia Elizabeth Clodfelter, BS, MSW
- Joshua Todd Clontz, DO
- Sara Elizabeth Clymer, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.