MICHIGAN INSTITUTE OF UROLOGY PC (NPI# 1801978309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801978309 |
Entity Type | Organization |
Organization Name | MICHIGAN INSTITUTE OF UROLOGY PC |
Practice Address |
2300 Haggerty Road Suite 2000 West Bloomfield MI 48323-2102 |
Mailing Address |
20952 E 12 Mile Rd Suite 200 Saint Clair Shores MI 48081-3200 |
Practice Telephone | 2486249900 |
Practice Fax Number | 2488965450 |
Mailing Telephone | 5867714820 |
Mailing Fax Number | 5867716620 |
Enumeration Date | 2006-10-20 |
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 |
---|---|---|---|---|---|
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 | RAILROAD MEDICARE | CB9133 | 01 |
MI | BCBSM | 340E062730 | 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 |
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 |
2300 HAGGERTY ROAD SUITE 2000 |
City | WEST BLOOMFIELD |
State | MI |
Zip Code | 48323-2102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366495434 | Nelson M Hersh | Dentist | 2300 Haggerty Road, Suite 1160, West Bloomfield, MI 48323 | 2006-05-18 |
1013342500 | Katharine Elizabeth Graham | Physical Therapist | 2300 Haggerty Road, Suite 2020, West Bloomfield, MI 48323 | 2013-09-04 |
1982763264 | Joel Leslie Felsenfeld | Dentist | 2300 Haggerty Road, Suite 1170, West Bloomfield, MI 48323 | 2006-12-06 |
1184660490 | Lawrence M Dell | Internal Medicine | 2300 Haggerty Road, Suite 1010, West Bloomfield, MI 48323 | 2006-06-22 |
1083659932 | Center for Ear,nose and Throat PC | Otolaryngology | 2300 Haggerty Road, Suite 2130, West Bloomfield, MI 48323 | 2006-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235503301 | James K. Uhes | Occupational Therapist | 2300 Haggerty Rd. Ste 2190, Lakes Medical Center, West Bloomfield, MI 48323 | 2015-11-30 |
1700253283 | Max Elder | Specialist/Technologist | 2387 Scotch Pine St, West Bloomfield, MI 48323 | 2015-08-31 |
1952792400 | Michael Cataldo | Technician, Other | 6626 Torybrooke Ct, West Bloomfield, MI 48323 | 2015-02-05 |
1982944666 | Steven Nathan Rives | Internal Medicine | 2300 Haggerty Rd Ste 2060, West Bloomfield, MI 48323 | 2013-02-18 |
1275871832 | Detroit Medical Center Sinai Grace Hospital | General Acute Care Hospital | 3495 Pine Estates Drive, West Bloomfield, MI 48323 | 2013-01-16 |
1295090793 | Advance Health Care System, LLC | Massage Therapist | 4267 Foxpoint, West Bloomfield, MI 48323 | 2012-07-10 |
1841566700 | Eduardo Rivera | Pathology | 2920 Bloomfield Shore Drive, West Bloomfield, MI 48323 | 2012-03-26 |
1952611782 | Debra Mary Gregory PC LLC | Social Worker | 7130 Walnut Lake Road, West Bloomfield, MI 48323 | 2010-10-14 |
1033362793 | Alvin Yousif Daboul | Dentist | 2332 Hiller Road, West Bloomfield, MI 48323 | 2008-10-28 |
1386846574 | Jerald B Maltzman | Radiology | 4744 Wendrick Dr, W. Bloomfield, MI 48323 | 2007-06-01 |
Find all providers in zip 48323 |
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 |
---|---|---|---|---|
1962034843 | Cure Mart LLC | Durable Medical Equipment & Medical Supplies | 1864 Midchester Dr, West Bloomfield, MI 48324-1137 | 2020-02-07 |
1972087716 | Henry's Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 5829 W Maple Rd Ste 119, West Bloomfield, MI 48322-2294 | 2018-09-18 |
1326546631 | Befitting You, LLC | Durable Medical Equipment & Medical Supplies | 2300 Haggerty Rd Ste 1090, West Bloomfield, MI 48323-2185 | 2018-02-01 |
1194238642 | Lada Medical | Durable Medical Equipment & Medical Supplies | 7867 Timberlane Trl, West Bloomfield, MI 48323-4012 | 2017-11-07 |
1750807566 | Medical Rehabilitation Physicians Plc | Durable Medical Equipment & Medical Supplies | 6079 W Maple Rd Ste 100b, West Bloomfield, MI 48322-2283 | 2017-08-15 |
1669853610 | Human Body Medical Equipments LLC | Durable Medical Equipment & Medical Supplies | 4793 Walnut Creek Dr, West Bloomfield, MI 48322-3407 | 2015-06-16 |
1215199039 | Busch's Inc | Durable Medical Equipment & Medical Supplies | 33300 W. 14 Mile Rd., West Bloomfield, MI 48322-3572 | 2008-07-02 |
1245375021 | Migun W B L L C | Durable Medical Equipment & Medical Supplies | 6718 Orchard Lake Rd, West Bloomfield, MI 48322-3491 | 2007-02-20 |
1700931961 | Foot Solutions West Bloomfield LLC | Durable Medical Equipment & Medical Supplies | 6263 Haggerty Rd, West Bloomfield, MI 48322-5030 | 2007-01-25 |
1225185085 | Thomas Medical Sales LLC | Durable Medical Equipment & Medical Supplies | 5440 Hammersmith Dr, West Bloomfield, MI 48322-1451 | 2007-01-04 |
Find all providers in WEST BLOOMFIELD |
City | WEST BLOOMFIELD |
Zip Code | 48323 |
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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.