MICHIGAN INSTITUTE OF UROLOGY PC (NPI# 1275623068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275623068 |
Entity Type | Organization |
Organization Name | MICHIGAN INSTITUTE OF UROLOGY PC |
Practice Address |
5701 Bow Pointe Dr Suite 250 Clarkston MI 48346-3163 |
Mailing Address |
20952 E 12 Mile Rd Suite 200 Saint Clair Shores MI 48081-3200 |
Practice Telephone | 2486206660 |
Practice Fax Number | 2486206662 |
Mailing Telephone | 5867714820 |
Mailing Fax Number | 5867716620 |
Enumeration Date | 2006-10-13 |
Last Update Date | 2009-04-28 |
Authorized Official Name | ALPHONSE M. SANTINO (PRESIDENT) |
Authorized Official Telephone | 5867714820 |
Authorized Official Credential | M.D. |
Is Organization Subpart | Y |
Parent Organization Name | MICHIGAN INSTITUTE OF UROLOGY PC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
N | 2088P0231X |
Urology Specialization: Pediatric Urology |
Allopathic & Osteopathic Physicians | ||
N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BCBSM | 340E062730 | 01 |
MI | BCBSM DME | 540E016120 | 01 |
MI | RAILROAD MEDICARE | CB9133 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194807693 | Michigan Institute of Urology PC | Urology | 6900 Orchard Lake Road, Suite 101, West Bloomfield, MI 48322-3424 | 2006-10-20 |
1427027416 | Michigan Institute of Urology PC | Pathology | 20952 12 Mile Rd, Suite 200, St Clair Shores, MI 48081-3203 | 2006-03-14 |
1962674499 | Michigan Institute of Urology PC | Urology | 130 Town Center Dr, Suite 200, Troy, MI 48084-1744 | 2008-03-25 |
1730393927 | Michigan Institute of Urology PC | Durable Medical Equipment & Medical Supplies | 20952 12 Mile Road, 200, Saint Clair Shores, MI 48081-3203 | 2007-05-09 |
1801018338 | Michigan Institute of Urology PC | Nurse Practitioner | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3200 | 2007-05-03 |
1801978309 | Michigan Institute of Urology PC | Urology | 2300 Haggerty Road, Suite 2000, West Bloomfield, MI 48323-2102 | 2006-10-20 |
1295817799 | Michigan Institute of Urology PC | Urology | 130 Town Center Drive, Suite 101, Troy, MI 48084-1773 | 2006-10-20 |
1881776383 | Michigan Institute of Urology PC | Urology | 44200 Woodward, Suite 207, Pontiac, MI 48341 | 2006-10-20 |
1871673962 | Michigan Institute of Urology PC | Urology | 18100 Oakwood Blvd, Suite 315, Dearborn, MI 48124-4085 | 2006-10-16 |
1326138033 | Michigan Institute of Urology PC | Urology | 11051 Hall Rd, Suite 200, Utica, MI 48317-5735 | 2006-10-13 |
Street Address |
5701 BOW POINTE DR SUITE 250 |
City | CLARKSTON |
State | MI |
Zip Code | 48346-3163 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417955246 | James A Oneill | Pediatrics | 5701 Bow Pointe Dr, Suite 100, Clarkston, MI 48346-3198 | 2005-07-14 |
1154872190 | Bianca Green | Nurse Practitioner | 5701 Bow Pointe Dr, Clarkston, MI 48346-3198 | 2016-10-14 |
1437504149 | Sara Michelle Lebovic | Advanced Practice Midwife | 5701 Bow Pointe Dr, Suite 350, Clarkston, MI 48346-3198 | 2016-05-01 |
1649643263 | Michael Engler | Physician Assistant | 5701 Bow Pointe Dr, Clarkston, MI 48346-3198 | 2015-11-04 |
1285000869 | Sandra Aloia | Nurse Practitioner | 5701 Bow Pointe Dr, Ste 370, Clarkston, MI 48346 | 2015-08-18 |
1245621804 | Rochester Knee & Sports Medicine PC | Durable Medical Equipment & Medical Supplies | 5701 Bow Pointe Dr, Suite 300, Clarkston, MI 48346-3198 | 2015-02-18 |
1316371271 | Arli Susan Motsinger | Nurse Practitioner | 5701 Bow Pointe Dr, Suite100, Clarkston, MI 48346-3198 | 2013-08-28 |
1609200021 | Scott Walter Tycholiz | Physician Assistant | 5701 Bow Pointe Dr, Suite 120, Clarkston, MI 48346-3198 | 2013-08-22 |
1710239652 | Rebecca Lynn Warner | Physical Therapist | 5701 Bow Pointe Dr, Ste 300, Clarkston, MI 48346-3198 | 2012-10-02 |
1811262546 | Bradley Wallace Erlandson Sr. | Counselor | 5701 Bow Pointe Dr, Clarkston, MI 48346-3198 | 2012-03-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497399745 | Therapy Services of Clarkston LLC | Clinic/Center | 6770 Dixie Highway, Suite 103, Clarkston, MI 48346 | 2019-10-30 |
1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
1558880591 | 3rd Circle Inc. | Home Health Aide | 39 South Main Street, Ste 2, Clarkston, MI 48346 | 2017-09-11 |
1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
1932566940 | Syncere Hearts Home Healthcare, LLC | Home Health | 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 | 2016-01-21 |
1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
1013386358 | Victoria Urikh-garcia | Technician, Other | 6510 Town Center Dr Ste E, Clarkston, MI 48346 | 2015-09-16 |
1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
Find all providers in zip 48346 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629572599 | Befitting You, LLC | Durable Medical Equipment & Medical Supplies | 7650 Dixie Hwy Ste 130, Clarkston, MI 48346-2078 | 2018-03-23 |
1225433717 | Henry Hunt | Durable Medical Equipment & Medical Supplies | 1612 Rimview Dr, Clarkston, WA 99403-3041 | 2014-10-27 |
1639593528 | Irb Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 5701 Bow Pointe Dr Ste 105, Clarkston, MI 48346-3199 | 2014-02-12 |
1598044208 | Scooter Chair Repair Georgia, LLC | Durable Medical Equipment & Medical Supplies | 3519 Church St, Unit D, Clarkston, GA 30021-1723 | 2011-08-11 |
1396977203 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 306 5th St, Clarkston, WA 99403-1860 | 2009-08-12 |
1952545758 | Staniszewski Optometry Pllc | Durable Medical Equipment & Medical Supplies | 7111 Dixie Hwy # 152, Clarkston, MI 48346-2077 | 2009-04-23 |
1295918571 | William H Reuther | Durable Medical Equipment & Medical Supplies | 7478 Gateway Park Dr Ste B, Clarkston, MI 48346-2574 | 2007-12-10 |
1104029743 | Premier Braces | Durable Medical Equipment & Medical Supplies | 1366 Bridge St, Clarkston, WA 99403-2332 | 2007-06-11 |
1205906013 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 5751 Clarkston Road, Clarkston, MI 48348-4707 | 2006-11-09 |
1891804357 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 5789 Ortonville Road, Clarkston, MI 48346-2959 | 2006-08-29 |
Find all providers in CLARKSTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.