Thomas H Douglas, MD | |
1780 Medical Park Dr, Rock Hill, SC 29732-1194 | |
(803) 327-1116 | |
(803) 327-6872 |
Full Name | Thomas H Douglas |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 35 Years |
Location | 1780 Medical Park Dr, Rock Hill, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336213883 | NPI | - | NPPES |
8912374 | Medicaid | NC | |
0007034011 | Other | SC | AETNA |
136HX | Other | NC | BCBS OF NC |
212816 | Medicaid | SC | |
1905793 | Other | SC | UNITED HEALTHCARE |
867215 | Other | SC | GREAT WEST |
90023 | Other | SC | MEDCOST |
279873 | Other | SC | MAMSI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 99-00476 (North Carolina) | Secondary |
208800000X | Urology | 0101045853 (Virginia) | Secondary |
208800000X | Urology | 21281 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Medical Center | Rock hill, SC | Hospital |
Caromont Regional Medical Center | Gastonia, NC | Hospital |
Carolinas Medical Center-pineville | Charlotte, NC | Hospital |
Carolinas Medical Center/behav Health | Charlotte, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Stone Institute Of The Carolinas Llc | 3173412533 | 30 |
Carolina Urology Partners Pllc | 8921280587 | 36 |
Carolina Urology Partners Pllc | 8921280587 | 36 |
Entity Name | Stone Institute Of The Carolinas Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457377954 PECOS PAC ID: 3173412533 Enrollment ID: O20040312001126 |
Entity Name | Carolina Urology Partners Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013210004 PECOS PAC ID: 8921280587 Enrollment ID: O20110303000580 |
Mailing Address | Practice Location Address |
---|---|
Thomas H Douglas, MD 9735 Kincey Ave, Suite 201, Huntersville, NC 28078-9118 Ph: (704) 414-2870 | Thomas H Douglas, MD 1780 Medical Park Dr, Rock Hill, SC 29732-1194 Ph: (803) 327-1116 |
Matthew Newsome, MD Urology Medicare: Medicare Enrolled Practice Location: 1780 Medical Park Dr, Rock Hill, SC 29732 Phone: 803-327-1116 Fax: 803-327-6872 | |
Terry H Ezell, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1780 Medical Park Dr, Rock Hill, SC 29732 Phone: 803-327-1116 Fax: 803-327-6872 | |
Ashima Singal, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1780 Medical Park Dr, Rock Hill, SC 29732 Phone: 033-271-1168 Fax: 803-327-6872 | |
Dr. Christian E Magura, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1780 Medical Park Dr, Rock Hill, SC 29732 Phone: 803-327-1116 Fax: 803-327-6872 | |
David K Wright, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1780 Medical Park Dr, Rock Hill, SC 29732 Phone: 803-327-1116 Fax: 803-327-6872 | |
Albert G Leroy Jr., M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1780 Medical Park Dr, Rock Hill, SC 29732 Phone: 803-327-1116 Fax: 803-327-6872 |