Piedmont Urology Associates PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

0099-01352 Issued in NC

Legal business name

PIEDMONT UROLOGY ASSOCIATES PA

Practice address

924 Cox Rd
Gastonia, NC 28054-3456

Phone

(704) 869-0075

Fax

(704) 869-8875

NPI assigned

Jun 1, 2005

Last updated

Apr 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert L Waterhouse Jr., M.D.NPI 1508852104

Title

President

Phone

(704) 869-0075

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Lee Waterhouse Jr., M.D.

  • Urology Physician
  • Gastonia, NC
  • NPI 1508852104
  Authorized official Same address or phone
• Manish Prafulla Patel, M.D.

  • Urology Physician
  • Elgin, SC
  • NPI 1578559860
  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1184626350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 COX RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543456",
            "telephone_number": "704-869-0075",
            "fax_number": "704-869-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 COX RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280543456",
            "telephone_number": "704-869-0075",
            "fax_number": "704-869-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT UROLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "WATERHOUSE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-869-0075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "0099-01352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902266",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC PROVIDER NUMBE",
            "identifier": "02266",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Urology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.