Organization Active NPI

Carolina Urology Clinic, PA

  • Urology Physician
  • Ocean Isle Beach, NC
National Provider Identifier
1356437313
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
CAROLINA UROLOGY CLINIC, PA
Practice address
25 Union School Rd NW
Ocean Isle Beach, NC 28469-7307
Phone
(910) 642-5832
Fax
(910) 642-8814
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Authorized official

Name
Dr. Ronald P Glinski, MD, PHDNPI 1487669966
Title
Owner
Phone
(910) 642-5832

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

25 Union School Rd NW
Ocean Isle Beach, NC 28469-7307

Mailing address

25 Union School Rd NW
Ocean Isle Beach, NC 28469-7307
Phone (910) 642-5832

Other identifiers 4

IdentifierTypeStateIssuer
01601OtherNCBLUE CROSS
CG7448OtherNCRAIL ROAD MEDICARE
NPA160MedicaidSC
89015NVMedicaidNC

National Provider Directory

National Provider Directory

Locations

114 N Howe St
Southport, NC 28461
Phone (910) 457-4363

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1356437313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 UNION SCHOOL RD NW",
            "city": "OCEAN ISLE BEACH",
            "state": "NC",
            "postal_code": "284697307",
            "telephone_number": "910-642-5832",
            "fax_number": "910-642-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 UNION SCHOOL RD NW",
            "city": "OCEAN ISLE BEACH",
            "state": "NC",
            "postal_code": "284697307",
            "telephone_number": "910-642-5832",
            "fax_number": "910-642-8814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA UROLOGY CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "GLINSKI",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-642-5832",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "01601",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "CG7448",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPA160",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89015NV",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Isle Beach, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.