Carolina Urology Center, PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

CAROLINA UROLOGY CENTER, PA

Practice address

1077 W Meeting St
Suite a
Lancaster, SC 29720-2205

Phone

(803) 285-1337

Fax

(803) 285-4772

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Tracy Black

Title

Practice Manager

Phone

(803) 327-1116

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1336164227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 MEDICAL PARK DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321194",
            "telephone_number": "803-327-1116",
            "fax_number": "803-327-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 W MEETING ST",
            "address_2": "SUITE A",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202205",
            "telephone_number": "803-285-1337",
            "fax_number": "803-285-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA UROLOGY CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "803-327-1116"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902555",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA4307",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Podiatry Group, Inc.
• Carolina Pulmonary and Critical Care Physicians LLC
• Carolina Urgent & Family Care
• Carolina Urgent & Family Care
• Carolina Urgent and Family Care
• Carolinas Complete Care for Women, LLC
• Carolinas Physicians Network Inc (Atrium Health Musculoskeletal Institute Orthopedics & Sports Medici)
• Carolinas Physicians Network, Inc. (Carolinas Orthopaedic Surgery Associates)
• Ian Michael Carrese, PA-C
• Carrie Heart of Gold Home Care LLC

• Urology Physician in Lancaster, SC
• Providers in Lancaster, SC by specialty
• Urology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.