Capitol Urology, PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

CAPITOL UROLOGY, PA

Practice address

2724 Middleburg Dr
Columbia, SC 29204-2437

Phone

(803) 251-6602

Fax

(803) 251-6605

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Thomas B Edmunds Jr., MDNPI 1962443887

Title

Physician Owner

Phone

(803) 251-6602

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 6

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

• Thomas B Edmunds, M.D.

  • Urology Physician
  • Columbia, SC
  • NPI 1962443887
  Medicare reassignment NPD Authorized official
• Leslie B McDill, APRN, FNP

  • Family Nurse Practitioner
  • Columbia, SC
  • NPI 1417121831
  Medicare reassignment NPD
• Brittany Keeler Chestnut, PA-C

  • Physician Assistant
  • Lexington, SC
  • NPI 1548606007
  Medicare reassignment
• Lacey Taylor Hinson, PA

  • Physician Assistant
  • Columbia, SC
  • NPI 1225586399
  Medicare reassignment
• Virginia Elizabeth Hyatt, PA-C

  • Medical Physician Assistant
  • Irmo, SC
  • NPI 1720273451
  Medicare reassignment
• Ami Robinson Steele, PA-C

  • Medical Physician Assistant
  • Columbia, SC
  • NPI 1568591832
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1992898076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2724 MIDDLEBURG DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042437",
            "telephone_number": "803-251-6602",
            "fax_number": "803-251-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2724 MIDDLEBURG DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042437",
            "telephone_number": "803-251-6602",
            "fax_number": "803-251-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL UROLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "EDMUNDS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN  OWNER",
        "authorized_official_telephone_number": "803-251-6602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4640",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Capital Prosthetics & Orthotics, Inc.
• Capital Skin & Laser LLC
• Capitol Dental Group, LLC
• Capitol ER Group LLC
• Capitol ER Group LLC
• Jessica Capozzi
• Lindsay Carature, DC
• Mallory Carberry, PHARMD
• Corinne Carbone
• Christiana Carbullido

• Urology Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Urology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.