Mohamed & Associates Urology Center, PA

Primary specialty

Urology Registered NurseTaxonomy code 163WU0100X

License

200001374090 Issued in NC

Legal business name

MOHAMED & ASSOCIATES UROLOGY CENTER, PA

Practice address

507 N Brightleaf Blvd
Suite 205
Smithfield, NC 27577-4405

Phone

(919) 934-5955

Fax

(919) 934-0959

NPI assigned

Apr 23, 2007

Last updated

Sep 30, 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

Adel Mohamed, M.DNPI 1750425195

Title

Owner/President

Phone

(919) 934-5955

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MOHAMED & LIPPITT UROLOGY CENTER, PA Former legal business name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 3

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.

• Adel W Mohamed, M.D.

  • Urology Physician
  • Smithfield, NC
  • NPI 1750425195
  Medicare reassignment Care Compare group NPD Authorized official
• Ashley Blaire Slate, PA-C

  • Physician Assistant
  • Goldsboro, NC
  • NPI 1104071034
  Medicare reassignment Care Compare group
• Jennifer Buck

  • Health Information Specialist/Technologist
  • Smithfield, NC
  • NPI 1568131100
  NPD

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1447478771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275770147",
            "telephone_number": "919-934-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N BRIGHTLEAF BLVD",
            "address_2": "SUITE 205",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774405",
            "telephone_number": "919-934-5955",
            "fax_number": "919-934-0959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMED & ASSOCIATES UROLOGY CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ADEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "919-934-5955",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "163WU0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Urology",
            "state": "NC",
            "license": "200001374090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8959968",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890168F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOHAMED & LIPPITT UROLOGY CENTER, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Millennia Cardiovascular, P.a.
• Bradley Wayne Miller, LCSWA
• Mills & Salter Smithfield O.D. P.a. (Doctors Vision Center)
• Jamie Le Minn
• Mobi Health LLC
• Adel W Mohamed, M.D.
• Monarch
• Monarch
• Alycia Yvette Montanez
• Caroline Godwin Moore, PHARMD

• Registered Nurse in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Registered Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.