Organization Active NPI

Triangle Urology Associates, P.a.

  • Urology Physician
  • Durham, NC
National Provider Identifier
1730181538
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
TRIANGLE UROLOGY ASSOCIATES, P.A.
Practice address
205 Frasier St
Durham, NC 27704-2125
Phone
(919) 477-7003
Fax
(919) 471-2827
NPI assigned
Aug 11, 2005
Last updated
Mar 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Authorized official

Name
Ms. Patricia P Grinstead
Title
Office Manager
Phone
(919) 313-3662

Specialties & licenses 1

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

Addresses

Primary practice location

205 Frasier St
Durham, NC 27704-2125

Mailing address

205 Frasier St
Durham, NC 27704-2125
Phone (919) 477-7003

Other identifiers 1

IdentifierTypeStateIssuer
8901369MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040909000162 NC Part B Supplier - Clinic/Group Practice 2062487911 Receives reassigned benefits from 7 practitioners
Practice locations: Chapel Hill, NC; Durham, NC

National Provider Directory

National Provider Directory

Locations

120 Conner Dr
Chapel Hill, NC 27514
Phone (919) 942-8571

205 Frasier St
Durham, NC 27704
Phone (919) 477-7003

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1730181538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 FRASIER ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042125",
            "telephone_number": "919-477-7003",
            "fax_number": "919-471-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 FRASIER ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042125",
            "telephone_number": "919-477-7003",
            "fax_number": "919-471-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE UROLOGY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "GRINSTEAD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-313-3662",
        "authorized_official_name_prefix": "Ms."
    },
    "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": "8901369",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.