MICHIGAN INSTITUTE OF UROLOGY PC


Address: 11051 Hall Rd, Suite 200, Utica, MI 48317-5735
Phone: 5862545759

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).

Provider Overview

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

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 RAILROAD MEDICARE CB9133 01
MI BCBSM DME 540E016120 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
1275623068 Michigan Institute of Urology PC Urology 5701 Bow Pointe Dr, Suite 250, Clarkston, MI 48346-3163 2006-10-13

Office Location

Street Address 11051 HALL RD
SUITE 200
City UTICA
State MI
Zip Code 48317-5735

Providers in the same location

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
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Providers in the same zip code

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
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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
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
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Competitor

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City UTICA
Zip Code 48317

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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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