Urology Associates of Southeastern North Carolina, PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

UROLOGY ASSOCIATES OF SOUTHEASTERN NORTH CAROLINA, PA

Practice address

4222 Long Beach Rd SE Ste B
Southport, NC 28461-8627

Phone

(910) 763-6251

Fax

(910) 763-7408

NPI assigned

Aug 31, 2021

Organization subpart

Yes

Parent organization

UROLOGY ASSOCIATES OF SOUTHEASTERN NORTH CAROLINA, PAAs reported in NPPES

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

Authorized official

Name

Mrs. Susan A Pasquarell

Title

Practice Manager

Phone

(910) 763-6251

Specialties & licenses 1

Addresses

Part of

Urology Associ Ates of So

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Urology Associates of Southeastern North Carolina, PA

  • Specialist
  • Wilmington, NC
  • NPI 1407875610
  NPPES parent name

Practitioners 5

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

• Edgar Wilson Kirby IV, M.D.

  • Urology Physician
  • Wilmington, NC
  • NPI 1326332024
  NPD
• Dana Point, MD

  • Urology Physician
  • Southport, NC
  • NPI 1659665560
  NPD
• Angela Marie Plichta, PA-C

  • Physician Assistant
  • Wilmington, NC
  • NPI 1780964254

  Single Specialty

  NPD (past)
• Kaitlin Ridder, M.D.

  • Urology Physician
  • Wilmington, NC
  • NPI 1114339447
  NPD (past)
• Lauren Gail Thayer, PA-C

  • Physician Assistant
  • Wilmington, NC
  • NPI 1083438527
  NPD (past)

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1689342263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 GLEN MEADE RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036024",
            "telephone_number": "910-763-6251",
            "fax_number": "910-763-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 LONG BEACH RD SE STE B",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618627",
            "telephone_number": "910-763-6251",
            "fax_number": "910-763-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY ASSOCIATES OF SOUTHEASTERN NORTH CAROLINA, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UROLOGY ASSOCIATES OF SOUTHEASTERN NORTH CAROLINA, PA",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "PASQUARELL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "910-763-6251",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce F Thompson, MD
• Amanda McEarl Tilyou, PT
• Tools4Life LLC
• Total Renal Care of North Carolina LLC
• Traci Espinosa DMD, PLLC
• Brittany Vanslyke, M.S OTR/L
• Kristos Nektarios Vaughan, D.O.
• Leigh Margaret Vaughan, D.O.
• Samantha Vaughan
• Robin Vieira, RDN

• Urology Physician in Southport, NC
• Providers in Southport, 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 Aug 31, 2021; 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.