Carolinas Healthcare Associates, Inc.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

CAROLINAS HEALTHCARE ASSOCIATES, INC.

Doing business as

Onslow Urology Clinc

Practice address

221 Memorial Dr
Jacksonville, NC 28546-6333

Phone

(910) 353-9994

Fax

(910) 353-5784

NPI assigned

Aug 24, 2012

Last updated

Jan 10, 2017By 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. Dan E Goodwin

Title

VP

Phone

(910) 667-7597

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Onslow Urology Clinc Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Carolina Healthcare Associates, Inc.

  dba Robert T. Bennett, MD

  • Urology Physician
  • Leland, NC
  • NPI 1639492176
  NPPES parent name

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

{
    "created_epoch": "1345766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1407104466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602484",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602484",
            "telephone_number": "910-353-9994",
            "fax_number": "910-353-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 MEMORIAL DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466333",
            "telephone_number": "910-353-9994",
            "fax_number": "910-353-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS HEALTHCARE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-24",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "910-667-7597",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407104466",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5921896",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Onslow Urology Clinc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urology Physician in Jacksonville, NC
• Providers in Jacksonville, 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 Jan 10, 2017; 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.