<Unavail>

LBN: Pediatric Urology Associates
<Unavail> is an health care organization with primary practice located at 3135 Springbank Lane Suite 200, Charlotte NC 28226-3360. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Physician Assistants & Advanced Practice Nursing Providers / Medical. Allopathic & Osteopathic Physicians / Urology is the primary health care specialty. Pediatric Urology Associates can be contacted via phone (704) 540-3667, or through Molitiesm, Joseph A. via phone (407) 540-3667.

Contact Information

Primary practice address
3135 Springbank Lane Suite 200 Charlotte NC 28226-3360
Phone: (704) 540-3667
Fax: (704) 540-3668
Website:
Map and Directions
Authorized official contact:
Name: Molitiesm, Joseph A. Doctor of Medicine (MD)
Phone: (407) 540-3667

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 9600282 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1000392 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 103556 North Carolina

Profile Details

NPI number 1376593061
LBN Legal business name Pediatric Urology Associates
DBA Doing business as <Unavail>
Authorized official Molitiesm, Joseph A. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2006
Last updated Aug 5th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376593061 NPPES
North Carolina MEDICAID 51818
North Carolina Other 02367
North Carolina MEDICAID 8951818

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