MICHIGAN INSTITUTE OF UROLOGY, PC (NPI# 1326208745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326208745 |
| Entity Type | Organization |
| Organization Name | MICHIGAN INSTITUTE OF UROLOGY, PC |
| Practice Address |
1701 South Blvd E Suite 340 Rochester Hills MI 48307-6122 |
| Mailing Address |
20952 E 12 Mile Rd Suite 200 Saint Clair Shores MI 48081-3200 |
| Practice Telephone | 2482931000 |
| Practice Fax Number | 2482931001 |
| Mailing Telephone | 5867714820 |
| Mailing Fax Number | 5867716620 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2015-01-28 |
| Authorized Official Name | ROBERT R DILORETO (PRESIDENT AND CEO) |
| Authorized Official Telephone | 5867714820 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2088P0231X |
Urology Specialization: Pediatric Urology |
Allopathic & Osteopathic Physicians | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM | 340E062730 | 01 |
| MI | RAILROAD MEDICARE | CB9133 | 01 |
| MI | BCBSM DME | 540E016120 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598904237 | Michigan Institute of Urology, PC | Urology | 17405 Hall Rd, Ste B, Macomb, MI 48044-4061 | 2009-02-19 |
| 1144469883 | Michigan Institute of Urology, PC | Urology | 13251 E 10 Mile Rd, Ste 200, Warren, MI 48089-2076 | 2009-02-19 |
| 1225277965 | Michigan Institute of Urology, PC | Urology | 25500 Meadowbrook Rd, Ste 225, Novi, MI 48375-1878 | 2009-02-19 |
| 1881789071 | Michigan Institute of Urology, PC | Durable Medical Equipment & Medical Supplies | 14800 Farmington Rd, Suite 103, Livonia, MI 48154-5461 | 2006-10-04 |
| Street Address |
1701 SOUTH BLVD E SUITE 340 |
| City | ROCHESTER HILLS |
| State | MI |
| Zip Code | 48307-6122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245233352 | Martin F Mcgough | Internal Medicine | 1701 South Blvd E, Ste 390, Rochester Hills, MI 48307-6117 | 2005-05-23 |
| 1285231662 | Marie Killius | Nurse Practitioner | 1701 South Blvd E, Rochester Hills, MI 48307-6122 | 2020-10-08 |
| 1316507346 | Dorothy Mcgaw | Nurse Practitioner | 1701 South Blvd E, Rochester Hills, MI 48307-6122 | 2019-06-20 |
| 1457898918 | Dana Katherine Velzy | Midwife | 1701 South Blvd E, Suite 200, Rochester Hills, MI 48307-6122 | 2017-01-23 |
| 1508303074 | Robert Ted Neda | Physical Therapist | 1701 South Blvd E, #110, Rochester Hills, MI 48307-6122 | 2017-01-23 |
| 1649724998 | Cristie Lee Sarah | Nurse Practitioner | 1701 South Blvd E, Suite 300, Rochester Hills, MI 48307-6122 | 2016-08-03 |
| 1255789202 | Jennifer Kinaia | Nurse Practitioner | 1701 South Blvd E, Suite 290, Rochester Hills, MI 48307-6122 | 2016-06-01 |
| 1528428877 | Lauren Kakish | Nurse Practitioner | 1701 South Blvd E, Suite 300, Rochester Hills, MI 48307-6122 | 2016-02-29 |
| 1003206756 | Laura Jayne Hazely | Advanced Practice Midwife | 1701 South Blvd E, Suite 200, Rochester Hills, MI 48307-6122 | 2015-02-03 |
| 1699172106 | Sarah Elizabeth Misiuk | Physical Therapist | 1701 South Blvd E, Suite 110, Rochester Hills, MI 48307-6122 | 2014-11-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083238851 | Martin Dukaj | Student in an Organized Health Care Education/Training Program | 1101 Walton Blvd, Rochester Hills, MI 48307 | 2020-06-08 |
| 1073151973 | Cynthia Lynn Olekszyk | Dietitian, Registered | 645 Barclay Circle, Rochester Hills, MI 48307 | 2019-12-11 |
| 1326502428 | Jessica Delia | Nurse Practitioner | 1701 E South Boulevard, Suite 290, Rochester Hills, MI 48307 | 2019-01-23 |
| 1528530037 | Kelie Friday | Physical Therapist | 312 Rochester Hills, Dearborn, MI 48307 | 2018-12-21 |
| 1538635883 | Julie Latarewicz | Physical Therapist | Ascension Providence Rochester Hospital, 1101 West University Drive, Rochester, MI 48307 | 2018-10-15 |
| 1891270757 | Leah Marx | Social Worker | 3950 Rochester Rd, Ste 2250, Rochester Hills, MI 48307 | 2018-09-26 |
| 1598256729 | Frederick Alan Bittner | Student in an Organized Health Care Education/Training Program | 1101 W. University Drive, 3 North, Rochester, MI 48307 | 2018-05-23 |
| 1508356346 | Ankita Aggarwal | Student in an Organized Health Care Education/Training Program | Wsu/ascension Crittenton Hospital, 1101 W. University Drive, Rochester, MI 48307 | 2018-05-17 |
| 1619478195 | Michelle Nuccio | Occupational Therapist | 1555 E South Blvd, Rochester Hills, MI 48307 | 2018-02-21 |
| 1265932024 | Stacy Dietlin Linn | Physical Therapist | 1555 E. South Blvd, Suite 120, Rochester Hills, MI 48307 | 2018-02-19 |
| Find all providers in zip 48307 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073619615 | Anil B Kumar | Urology | 2450 Walton Blvd, Rochester Hills, MI 48309-1481 | 2006-09-14 |
| 1841255585 | Jon F Suleskey | Urology | 3512 Primrose Dr, Rochester Hills, MI 48307-5268 | 2006-04-18 |
| 1093903643 | Jeffrey L & Charles J Weingarten Md PC | Urology | 1135 W University Dr, Suite 210, Rochester Hills, MI 48307-1871 | 2007-10-09 |
| 1447330642 | Michigan United Physicians PC | Urology | 2450 Walton Blvd, Rochester Hills, MI 48309-1481 | 2006-10-16 |
| 1306942784 | John Addington | Urology | 2450 Walton Blvd, Rochester Hills, MI 48309-1481 | 2006-09-15 |
| 1073619441 | Jeffrey Greski | Urology | 2450 Walton Blvd, Rochester Hills, MI 48309-1481 | 2006-09-15 |
| 1326020157 | Michael D Lutz | Urology | 1701 South Blvd E, Ste 340, Rochester Hills, MI 48307-6122 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477488 | Munson Healthcare Charlevoix Hospital | Urology | 11695 Park Ave, Suite A, Charlevoix, MI 49720 | 2020-11-06 |
| 1396235610 | Munson Medical Center | Urology | 405 N Division Rd Ste 2, Petoskey, MI 49770-9046 | 2018-05-11 |
| 1770072498 | Bellin Health Iron Mountain Inc | Urology | 1005 S Hemlock St Ste B, Iron Mountain, MI 49801-3854 | 2018-05-08 |
| 1205215621 | Alexander David Tapper | Urology | 44200 Woodward Ave Ste 207, Pontiac, MI 48341-5045 | 2015-05-19 |
| 1912324211 | Boston Medical Group, P.C. | Urology | 24901 Northwestern Hwy., Suite 615, Southfield, MI 48075 | 2014-03-25 |
| 1548600984 | Katie Marie Rosen | Urology | 19991 Hall Rd Ste 201, Macomb, MI 48044 | 2013-06-30 |
| 1609213636 | Arya Khatiwoda | Urology | 2900 Hannah Blvd Ste 104, East Lansing, MI 48823-5380 | 2013-05-31 |
| 1003179730 | Kalen Jacob Rimar | Urology | 130 Town Center Dr Ste 101, Troy, MI 48084 | 2012-06-18 |
| 1780955294 | Harry Nicholas Kotsis | Urology | 265 Touraine Rd, Grosse Pointe Farms, MI 48236-3308 | 2012-01-16 |
| 1750678264 | Michael Kozminski | Urology | 245 Cherry St Se Ste 202, Grand Rapids, MI 49503-4607 | 2011-07-05 |
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| City | ROCHESTER HILLS |
| Zip Code | 48307 |
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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.