LAKE NORMAN UROLOGY PLLC
NPI 1134171366
Specialist in Mooresville, NC

NPI Status: Active since May 16, 2006

Contact Information

137 PROFESSIONAL PARK DRIVE
SUITE D
MOORESVILLE, NC
ZIP 28117
Phone: (704) 660-3322
Fax: (704) 660-3330

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About LAKE NORMAN UROLOGY PLLC

This page provides the complete NPI Profile along with additional information for Lake Norman Urology Pllc, a provider established in Mooresville, North Carolina operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1134171366 assigned on May 2006. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ms. G Anne Hage (Office Admin)

NPI
1134171366
Provider Name
LAKE NORMAN UROLOGY PLLC
Entity Type
Organization
Location Address
137 PROFESSIONAL PARK DRIVE SUITE D MOORESVILLE, NC 28117
Location Phone
(704) 660-3322
Location Fax
(704) 660-3330
Mailing Address
137 PROFESSIONAL PARK DRIVE SUITE D MOORESVILLE, NC 28117
Mailing Phone
(704) 660-3322
Mailing Fax
(704) 660-3330
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-16-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License State
NC
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. G ANNE HAGE

Authorized Official Title
OFFICE ADMIN
Authorized Official Phone
(704) 660-3322

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
790279RMEDICAID (05)NC 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134171366
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164272312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 2 + 7 + 2 + 3 + 1 + 2 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1134171366 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134171366, enumerated in the NPI registry as an "organization" on May 16, 2006

The provider is located at 137 Professional Park Drive Suite D Mooresville, Nc 28117 and the phone number is (704) 660-3322

This medical organization specializes in Specialist with taxonomy code 174400000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.