MICHIGAN INSTITUTE OF UROLOGY PC (NPI# 1326138033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326138033 |
Entity Type | Organization |
Organization Name | MICHIGAN INSTITUTE OF UROLOGY PC |
Practice Address |
11051 Hall Rd Suite 200 Utica MI 48317-5735 |
Mailing Address |
20952 E 12 Mile Rd Suite 200 Saint Clair Shores MI 48081-3200 |
Practice Telephone | 5862545759 |
Practice Fax Number | 5862545793 |
Mailing Telephone | 5867714820 |
Mailing Fax Number | 5867716620 |
Enumeration Date | 2006-10-13 |
Last Update Date | 2008-05-15 |
Authorized Official Name | ALPHONSE 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 | RAILROAD MEDICARE | CB9133 | 01 |
MI | BCBSM DME | 540E016120 | 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 |
1275623068 | Michigan Institute of Urology PC | Urology | 5701 Bow Pointe Dr, Suite 250, Clarkston, MI 48346-3163 | 2006-10-13 |
Street Address |
11051 HALL RD SUITE 200 |
City | UTICA |
State | MI |
Zip Code | 48317-5735 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407846462 | Deborah L Mikula | Obstetrics & Gynecology | 11051 Hall Rd, Suite 110, Utica, MI 48317-5735 | 2005-10-21 |
1366895559 | Michigan Neurology Associates Dme | Durable Medical Equipment & Medical Supplies | 11051 Hall Rd, Ste 240, Utica, MI 48317-5735 | 2016-07-22 |
1770818528 | Dawn Marie Roxborough | Nurse Practitioner | 11051 Hall Rd, Suite 120, Utica, MI 48317-5735 | 2009-10-13 |
1316116726 | Hematology-oncology Assoc. East, PC | Internal Medicine | 11051 Hall Rd, Suite 120, Utica, MI 48317-5735 | 2008-02-29 |
1760664023 | Ann Arbor Anesthesia Associates Inc | Nurse Anesthetist, Certified Registered | 11051 Hall Rd, Suite 230, Utica, MI 48317-5735 | 2007-11-28 |
1841495132 | Utica Asc Partners, LLC | Clinic/Center | 11051 Hall Rd, Suite 230, Utica, MI 48317-5735 | 2007-06-18 |
1881769545 | Clinton Women's Healthcare, PC | Obstetrics & Gynecology | 11051 Hall Rd, Suite 110, Utica, MI 48317-5735 | 2006-11-21 |
1649351560 | Cammy E Beglin | Obstetrics & Gynecology | 11051 Hall Rd, Suite 110, Utica, MI 48317-5735 | 2006-10-18 |
1427155357 | Great Lakes Cancer Mgmt Specialists | Non-Pharmacy Dispensing Site | 11051 Hall Rd, Ste 120, Utica, MI 48317-5735 | 2006-09-20 |
1083679070 | Earl R Koenig | Urology | 11051 Hall Rd, Suite 200, Utica, MI 48317-5735 | 2006-04-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891329686 | Jasmine Withers | Driver | 45835 Brownell St, Apt 9, Utica, MI 48317 | 2020-03-02 |
1942851670 | Kn Mental Health Services LLC | Social Worker | 1111 Hall Road, Utica, MI 48317 | 2019-09-24 |
1710461421 | Pureland Physical Therapy | Physical Medicine & Rehabilitation | 45555 Mound Rd, Shelby Twp, MI 48317 | 2018-09-18 |
1417433566 | Stephanie Marie Renner | Occupational Therapist | Regency At Shelby, 7401 22 Mile Road, Shelby Charter Township, MI 48317 | 2018-07-12 |
1437645959 | Jonathan G Deck | Physician Assistant | 46961 Vandyke Ave, Sheby Township, MI 48317 | 2018-07-09 |
1013407261 | Meredith Ann Schramski | Physician Assistant | 46961 Van Dyke Ave, Shelby Township, MI 48317 | 2018-05-14 |
1114446184 | Patrick Michael Roberts | Physician Assistant | 50149 Hedgeway Dr, Shelby Twp, MI 48317 | 2017-09-11 |
1427571702 | Boby Philip Manalel | Physical Therapist | 11150 Nature Way, Shelby Twp, MI 48317 | 2017-07-19 |
1285155119 | Shelby Urgent Care Walk-in Clinic | Family Medicine | 46965 Van Dyke Ave, Shelby Twp, MI 48317 | 2017-06-30 |
1942650718 | Samantha Parison | Technician, Other | 47980 Shelby Road, Shelby Township, MI 48317 | 2016-06-13 |
Find all providers in zip 48317 |
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 |
---|---|---|---|---|
1962037432 | Quinlans Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2215 Genesee Street, 4th Floor, Room 415, Utica, NY 13501-5930 | 2020-03-05 |
1417429192 | 121 Medequip Inc | Durable Medical Equipment & Medical Supplies | 13455 Hall Rd, Utica, MI 48315-5836 | 2018-12-19 |
1497237622 | Bobs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 430 Bleecker St, Utica, NY 13501 | 2018-09-04 |
1053899104 | Mohawk Valley Drugs LLC | Durable Medical Equipment & Medical Supplies | 635 Blandina St, Utica, NY 13501-3144 | 2018-07-31 |
1871867168 | Atwater Inc. | Durable Medical Equipment & Medical Supplies | 809 Court St, Utica, NY 13502-4013 | 2012-03-04 |
1942526215 | Advanced Device Access Management, LLC | Durable Medical Equipment & Medical Supplies | 1508 Genesee Street, Utica, NY 13505 | 2010-04-12 |
1235388984 | Parkway Drugs of Oneida County North Inc | Durable Medical Equipment & Medical Supplies | 350 Leland Ave, Utica, NY 13502-2327 | 2008-09-17 |
1285816819 | Paul H Baumgarten Dpm | Durable Medical Equipment & Medical Supplies | 302 Genesee St, Utica, NY 13502-4618 | 2007-12-05 |
1548396609 | Associated Eye Associates of Detroit, PC | Durable Medical Equipment & Medical Supplies | 8701 Hall Rd, Utica, MI 48317-5738 | 2007-02-25 |
1417039819 | St Regis Medical Equipment Corp | Durable Medical Equipment & Medical Supplies | 233 Elizabeth St, Utica, NY 13501-2211 | 2006-10-19 |
Find all providers in UTICA |
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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.