Active NPI
Associated Urologists of North Carolina, PA
- Urology Physician
- Cary, NC
National Provider Identifier
1780965004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- ASSOCIATED UROLOGISTS OF NORTH CAROLINA, PA
- Practice address
- 110 Kildaire Park Drive
Suite 500
Cary, NC 27518 - Phone
- (919) 467-3203
- Fax
- (919) 460-8915
- NPI assigned
- Aug 31, 2011
- Organization subpart
- Yes
- Parent organization
- ASSOCIATED UROLOGISTS OF NORTH CAROLINA PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kissiah Denise Burvig
- Title
- Credentialing MGR
- Phone
- (919) 863-9441
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
110 Kildaire Park Drive
Suite 500
Cary, NC 27518
Mailing address
110 Kildaire Park Drive
Suite 500
Cary, NC 27518
Phone (919) 467-3203
Other names 1
- Associated Urologists of North Carolina, PA
National Provider Directory
National Provider Directory- Part of
- Associated Urologists of North Carolina PA
Locations
110 Kildaire Park Dr
Ste 500
Cary, NC 27518
Phone (919) 467-3203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641254400000",
"number": "1780965004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 KILDAIRE PARK DRIVE",
"address_2": "SUITE 500",
"city": "CARY",
"state": "NC",
"postal_code": "27518",
"telephone_number": "919-467-3203",
"fax_number": "919-460-8915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 KILDAIRE PARK DRIVE",
"address_2": "SUITE 500",
"city": "CARY",
"state": "NC",
"postal_code": "27518",
"telephone_number": "919-467-3203",
"fax_number": "919-460-8915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSOCIATED UROLOGISTS OF NORTH CAROLINA, PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ASSOCIATED UROLOGISTS OF NORTH CAROLINA PA",
"enumeration_date": "2011-08-31",
"last_updated": "2022-01-04",
"certification_date": "2022-01-04",
"status": "A",
"authorized_official_last_name": "BURVIG",
"authorized_official_first_name": "KISSIAH",
"authorized_official_middle_name": "DENISE",
"authorized_official_title_or_position": "CREDENTIALING MGR",
"authorized_official_telephone_number": "919-863-9441",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Associated Urologists of North Carolina, PA",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Associated Urologists of North Carolina, PA",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.