Active NPI
Shaw P Wan Urology PLLC
- Urology Physician
- Albemarle, NC
National Provider Identifier
1316967656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- SHAW P WAN UROLOGY PLLC
- Practice address
- 1009 North 6TH Street
Albemarle, NC 28001 - Phone
- (704) 982-2800
- Fax
- (704) 982-2830
- NPI assigned
- Jul 20, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shaw P Wan, MD
- Title
- President
- Phone
- (704) 982-2800
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
1009 North 6TH Street
Albemarle, NC 28001
Mailing address
1009 North 6TH Street
Albemarle, NC 28001
Phone (704) 982-2800
National Provider Directory
National Provider DirectoryLocations
112 Charter St
Ste A
Albemarle, NC 28001
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.
-
- Urology Physician
- Albemarle, NC
- NPI 1659391993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1316967656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 NORTH 6TH STREET",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "28001",
"telephone_number": "704-982-2800",
"fax_number": "704-982-2830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 NORTH 6TH STREET",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "28001",
"telephone_number": "704-982-2800",
"fax_number": "704-982-2830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAW P WAN UROLOGY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WAN",
"authorized_official_first_name": "SHAW",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-982-2800",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albemarle, NC
Sources for this page
- 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.