MICHIGAN INSTITUTE OF UROLOGY PC


Address: 5701 Bow Pointe Dr, Suite 250, Clarkston, MI 48346-3163
Phone: 2486206660

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
MI BCBSM 340E062730 01
MI BCBSM DME 540E016120 01
MI RAILROAD MEDICARE CB9133 01

Other Provider IDs and Locations

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

Office Location

Street Address 5701 BOW POINTE DR
SUITE 250
City CLARKSTON
State MI
Zip Code 48346-3163

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City CLARKSTON
Zip Code 48346

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Dataset Information

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.

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