Wake Urological Associates, P.a.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

200001388680 Issued in NC

Legal business name

WAKE UROLOGICAL ASSOCIATES, P.A.

Practice address

4301 Lake Boone TRL
Suite 300
Raleigh, NC 27607-7507

Phone

(919) 782-1255

Fax

(919) 782-6056

NPI assigned

Dec 8, 2006

Last updated

Aug 22, 2020By 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

Mr. William James Mountford Jr.

Title

Practice Administrator

Phone

(919) 782-1255

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Joseph D. Neighbors Jr., M.D.

  • Urology Physician
  • Raleigh, NC
  • NPI 1295741726
  NPD

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275692667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 LAKE BOONE TRL",
            "address_2": "SUITE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077507",
            "telephone_number": "919-782-1255",
            "fax_number": "919-782-6056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 LAKE BOONE TRL",
            "address_2": "SUITE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077507",
            "telephone_number": "919-782-1255",
            "fax_number": "919-782-6056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE UROLOGICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOUNTFORD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "919-782-1255",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NC",
            "license": "200001388680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "01928",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901928",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wake Surgical Center
• Wake Teen Medical Services Inc.
• Wake Teen Medical Services Inc.
• Wake Transit
• Wake Transportation and Social Assistance Group, LLC
• Wakefield Chiropractic, PLLC
• Wakefield Pediatrics & Adolescent Medicine,P.a.
• Wakehealth Medical Group, PA.
• Wakemed (WakeMed Health and Hospitals)
• Wakemed (WakeMed Professional Physicians Staff)

• Urology Physician in Raleigh, NC
• Providers in Raleigh, 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 Aug 22, 2020; 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.