NPIMap

Organization Active NPI

Associated Urologists of North Carolina PA

  • Urology Physician
  • Raleigh, NC
National Provider Identifier
1871876441
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
ASSOCIATED UROLOGISTS OF NORTH CAROLINA PA
Practice address
4301 Lake Boone TRL
Suite 300
Raleigh, NC 27607-7507
Phone
(919) 782-1255
Fax
(919) 782-6056
NPI assigned
Sep 21, 2011
Organization subpart
Yes
Parent organization
ASSOCIATED UROLOGISTS OF NORTH CAROLINA PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Mark W Jalkut, M.D.
Title
President
Phone
(919) 782-1255

Specialties & licenses 1

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

Addresses

Primary practice location

4301 Lake Boone TRL
Suite 300
Raleigh, NC 27607-7507

Mailing address

2801 Blue Ridge Rd
Suite 110
Raleigh, NC 27607-6474
Phone (919) 758-8677

National Provider Directory

National Provider Directory
Tax ID family
Associated Urologists of North Carolina PA13 organizations share this tax ID, including this one
Part of
Associated Urologists of North Carolina PA

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2801 Blue Ridge Rd
Ste 110
Raleigh, NC 27607

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1871876441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 BLUE RIDGE RD",
            "address_2": "SUITE 110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076474",
            "telephone_number": "919-758-8677",
            "fax_number": "919-758-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 LAKE BOONE TRL",
            "address_2": "SUITE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077507",
            "telephone_number": "919-782-1255",
            "fax_number": "919-782-6056"
        }
    ],
    "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": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "JALKUT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-782-1255",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.