NPIMap

Organization Active NPI

Rockingham Urology Assoc

  • Urology Physician
  • Reidsville, NC
National Provider Identifier
1922083146
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
72530 Issued in NC
Legal business name
ROCKINGHAM UROLOGY ASSOC
Practice address
1818 Richardson Dr Ste F
Reidsville, NC 27320-5450
Phone
(336) 342-4791
Fax
(336) 634-0790
NPI assigned
Dec 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Authorized official

Name
Ms. Teresa S Warren
Title
Office Manager
Phone
(336) 342-4791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 72530 NC Primary

Addresses

Primary practice location

1818 Richardson Dr Ste F
Reidsville, NC 27320-5450

Mailing address

1818 Richardson Dr Ste F
Reidsville, NC 27320-5450
Phone (336) 342-4791

Other identifiers 3

IdentifierTypeStateIssuer
2381OtherNCPARTNERS MEDICARE
890121CMedicaidNC
0121COtherNCBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1922083146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 RICHARDSON DR STE F",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205450",
            "telephone_number": "336-342-4791",
            "fax_number": "336-634-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 RICHARDSON DR STE F",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273205450",
            "telephone_number": "336-342-4791",
            "fax_number": "336-634-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKINGHAM UROLOGY ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "336-342-4791",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NC",
            "license": "72530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE",
            "identifier": "2381",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890121C",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0121C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.