Organization Active NPI

Viewmont Urology Clinic, PA

  • Urology Physician
  • Hickory, NC
National Provider Identifier
1962435529
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
VIEWMONT UROLOGY CLINIC, PA
Practice address
1202 N Center St
Hickory, NC 28601-3760
Phone
(828) 322-4340
Fax
(828) 323-8450
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Chris Scott Wayne, MD
Title
Office Manager
Phone
(828) 322-4340

Specialties & licenses 1

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

Addresses

Primary practice location

1202 N Center St
Hickory, NC 28601-3760

Mailing address

1202 N Center St
Hickory, NC 28601-3760
Phone (828) 322-4340

Other identifiers 2

IdentifierTypeStateIssuer
02874OtherNCGROUP BCBS NUMBER
8902874MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040617001385 NC Part B Supplier - Clinic/Group Practice 6002890704 Receives reassigned benefits from 6 practitioners
Practice locations: Hickory, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962435529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 N CENTER ST",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013760",
            "telephone_number": "828-322-4340",
            "fax_number": "828-323-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 N CENTER ST",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013760",
            "telephone_number": "828-322-4340",
            "fax_number": "828-323-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIEWMONT UROLOGY CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAYNE",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "828-322-4340",
        "authorized_official_name_prefix": "Mr.",
        "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": "GROUP BCBS NUMBER",
            "identifier": "02874",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8902874",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • 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.
  • 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.