MICHIGAN INSTITUTE OF UROLOGY PC (NPI# 1730393927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730393927 |
| Entity Type | Organization |
| Organization Name | MICHIGAN INSTITUTE OF UROLOGY PC |
| Practice Address |
20952 12 Mile Road 200 Saint Clair Shores MI 48081-3203 |
| Practice Telephone | 5867714820 |
| Practice Fax Number | 5867719616 |
| Mailing Telephone | 5867714820 |
| Mailing Fax Number | 5867719616 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2008-05-15 |
| Authorized Official Name | ALPHONSE SANTINO (PRESIDENT) |
| Authorized Official Telephone | 5867714820 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | MICHIGAN INSTITUTE OF UROLOGY PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RAILROAD MEDICARE | CB9133 | 01 |
| MI | BCBSM | 340E062730 | 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 |
| 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 |
| 1275623068 | Michigan Institute of Urology PC | Urology | 5701 Bow Pointe Dr, Suite 250, Clarkston, MI 48346-3163 | 2006-10-13 |
| Street Address |
20952 12 MILE ROAD 200 |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48081-3203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750865416 | Saint Clair Family Pharmacy LLC | Pharmacy | 28001 Harper Ave., Saint Clair Shores, MI 48081 | 2018-09-19 |
| 1669995783 | Terra Laquay Ginther | Social Worker | 28800 Harper Ave Ste A, Saint Clair Shores, MI 48081 | 2017-07-20 |
| 1245676998 | Julia Hanson | Social Worker | 27941 Harper Ave., Suite 105, St. Clair Shores, MI 48081 | 2013-05-21 |
| 1760731301 | Life Transition Service | Community/Behavioral Health | 21031 Sunnydale, St. Clair Shore, MI 48081 | 2012-08-29 |
| 1477868792 | William Burr Wood | Pharmacist | 21000 Twelve Milerd., St Clair Shores, MI 48081 | 2010-08-11 |
| 1508094350 | Dominic Anthony Garrisi | Anesthesiology | 21018 Bon Brae, St. Clair Shores, MI 48081 | 2009-06-30 |
| 1992947022 | Karen Ostrowski-thomas | Occupational Therapist | 22442 Bayview, St. Clair Shores, MI 48081 | 2009-04-06 |
| 1891979787 | Chirag Rachhadia | Physical Therapist | 29150 Harper Avenue, St. Clair Shores, MI 48081 | 2007-12-27 |
| 1598955114 | Donna Warner Manczak | Psychologist | 21400 E Eleven Mil Rd, St Clair Shores, MI 48081 | 2007-07-30 |
| 1467652347 | Sumit Narayanprasad Fogla | Family Medicine | 21400 E Eleven Mile Road, St. Clair Shores, MI 48081 | 2007-07-19 |
| Find all providers in zip 48081 | ||||
| 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 |
|---|---|---|---|---|
| 1942434287 | Kroger Co of Michigan | Durable Medical Equipment & Medical Supplies | 23191 Marter Rd, Saint Clair Shores, MI 48080-2717 | 2009-05-14 |
| 1730324146 | Comprehensive Diabetic Supplies, LLC | Durable Medical Equipment & Medical Supplies | 21541 Harper Ave, Saint Clair Shores, MI 48080-2207 | 2008-12-15 |
| 1902052657 | Diabetic Supply Center | Durable Medical Equipment & Medical Supplies | 21500 Harper Ave, Suite 500, Saint Clair Shores, MI 48080-2211 | 2008-08-13 |
| 1144376914 | Collie Drugs Inc | Durable Medical Equipment & Medical Supplies | 21728 Harper Ave, Saint Clair Shores, MI 48080-2216 | 2007-01-26 |
| 1326106030 | American Durable Medical Equipment and Supplies LLC | Durable Medical Equipment & Medical Supplies | 21901 Harper Ave, Saint Clair Shores, MI 48080-2217 | 2006-12-05 |
| 1821109067 | The Dyament Group, Inc | Durable Medical Equipment & Medical Supplies | 21528 Harper Ave, Saint Clair Shores, MI 48080-2210 | 2006-08-31 |
| 1104935667 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 25100 Harper Avenue, Saint Clair Shores, MI 48081-2207 | 2006-08-29 |
| 1508975038 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 31079 Harper Avenue, Saint Clair Shores, MI 48082-1567 | 2006-08-29 |
| 1447369053 | Comfortably Yours Inc | Durable Medical Equipment & Medical Supplies | 23404 Greater Mack Ave, Saint Clair Shores, MI 48080-3424 | 2006-08-29 |
| 1154337731 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 21211 Harper Ave, Saint Clair Shores, MI 48080-2208 | 2006-08-01 |
| Find all providers in SAINT CLAIR SHORES | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48081 |
Please comment or provide details below to improve the information on MICHIGAN INSTITUTE OF UROLOGY PC.
| 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.