Metrolina Urology Clinic PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

METROLINA UROLOGY CLINIC PA

Practice address

1900 Randolph Rd
Suite 310
Charlotte, NC 28207-1106

Phone

(704) 358-8780

Fax

(704) 358-1530

NPI assigned

Jan 10, 2006

Organization subpart

No

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

Authorized official

Name

Derek C Gardner, MD

Title

President

Phone

(704) 358-8780

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• David E Somerstein, MD

  • Urology Physician
  • Charlotte, NC
  • NPI 1376529859
  NPD (past)
• Jonathan K Jay, MD

  • Urology Physician
  • Naples, FL
  • NPI 1225088305
  NPD (past)

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952380958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 RANDOLPH RD",
            "address_2": "SUITE 310",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071106",
            "telephone_number": "704-358-8780",
            "fax_number": "704-358-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 RANDOLPH RD",
            "address_2": "SUITE 310",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282071106",
            "telephone_number": "704-358-8780",
            "fax_number": "704-358-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROLINA UROLOGY CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-358-8780",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0124P",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Metrolina Nephrology Associates, PA
• Metrolina Neurological Associates
• Metrolina Orthopaedic and Sports Medicine Clinic
• Metrolina Pain Clinic Dispensary
• Metrolina Sleep Services, LLC
• Metrolina Vascular Access Care LLC
• Metrolina Women'S Breast Center PLLC
• Metroview Pharmacy Inc
• Magda Mekky Metwalli, O.D.
• Deronda Delphine Metz, LCSW

• Urology Physician in Charlotte, NC
• Providers in Charlotte, 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 22, 2020; 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.