Organization Active NPI

Urology Care, PA

  • Urology Physician
  • Wake Forest, NC
National Provider Identifier
1255539862
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2007-00855 Issued in NC
Legal business name
UROLOGY CARE, PA
Practice address
1904 S Main St
Suite 114
Wake Forest, NC 27587-5030
Phone
(919) 554-8539
Fax
(919) 554-9686
NPI assigned
Jul 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Authorized official

Name
Norman Goldbach, MDNPI 1194706838
Title
Owner
Phone
(919) 554-8539

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 2007-00855 NC Primary

Addresses

Primary practice location

1904 S Main St
Suite 114
Wake Forest, NC 27587-5030

Mailing address

1904 S Main St
Suite 114
Wake Forest, NC 27587-5030
Phone (919) 554-8539

Other identifiers 1

IdentifierTypeStateIssuer
1458AOtherNCBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1255539862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 S MAIN ST",
            "address_2": "SUITE 114",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875030",
            "telephone_number": "919-554-8539",
            "fax_number": "919-554-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 S MAIN ST",
            "address_2": "SUITE 114",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875030",
            "telephone_number": "919-554-8539",
            "fax_number": "919-554-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "GOLDBACH",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-554-8539",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NC",
            "license": "2007-00855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1458A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.