MICHIGAN INSTITUTE OF UROLOGY PC (NPI# 1871673962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871673962 |
| Entity Type | Organization |
| Organization Name | MICHIGAN INSTITUTE OF UROLOGY PC |
| Practice Address |
18100 Oakwood Blvd Suite 315 Dearborn MI 48124-4085 |
| Mailing Address |
20952 E 12 Mile Rd Suite 200 Saint Clair Shores MI 48081-3200 |
| Practice Telephone | 3132710066 |
| Practice Fax Number | 3132711047 |
| Mailing Telephone | 5867714820 |
| Mailing Fax Number | 5867716620 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2008-05-15 |
| Authorized Official Name | ALPHONSE M 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 | 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 |
| 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 |
18100 OAKWOOD BLVD SUITE 315 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-4085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578535142 | Lawrence G Morawa | Orthopaedic Surgery | 18100 Oakwood Blvd, 300, Dearborn, MI 48124-4085 | 2006-02-07 |
| 1992110522 | Michelle T Leonard | Psychologist | 18100 Oakwood Blvd, C/o Michelle Leonard, Dearborn, MI 48124-4085 | 2014-06-23 |
| 1801215959 | Lassen Dialysis LLC | Clinic/Center | 18100 Oakwood Blvd, Ste 206, Dearborn, MI 48124-4085 | 2014-04-15 |
| 1851630206 | University Physician Group | Occupational Therapist | 18100 Oakwood Blvd, Suite 300, Dearborn, MI 48124-4085 | 2013-02-05 |
| 1992044598 | University Physician Group | Prosthetic/Orthotic Supplier | 18100 Oakwood Blvd, Suite 300, Dearborn, MI 48124-4085 | 2013-02-04 |
| 1073878682 | Tiona Kimisha Stephens | Internal Medicine | 18100 Oakwood Blvd, Site 01 Medical Education, Dearborn, MI 48124-4085 | 2012-07-10 |
| 1598052441 | Geoffrey Alan Potts | Dermatology | 18100 Oakwood Blvd, Suite 300, Dearborn, MI 48124-4085 | 2011-06-29 |
| 1346565355 | Mariana Dimovski Atanasovski | Dermatology | 18100 Oakwood Blvd, Suite 300, Dearborn, MI 48124-4089 | 2010-04-01 |
| 1821310806 | Oakwood Healthcare Inc | Clinic/Center | 18100 Oakwood Blvd, Suite 206, Dearborn, MI 48124-4085 | 2010-02-18 |
| 1114257540 | Dynamic Urocare PC | Urology | 18100 Oakwood Blvd, Ste 315, Dearborn, MI 48124-4085 | 2010-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| 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 |
|---|---|---|---|---|
| 1053948737 | Krasity's Medical & Surgical Supply Inc. | Durable Medical Equipment & Medical Supplies | 1825 Bailey St, Dearborn, MI 48124-2488 | 2020-03-24 |
| 1629604327 | 5m Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 6326 Schaefer Rd, Dearborn, MI 48126-2285 | 2020-03-14 |
| 1174084941 | Ghaleb Mroue | Durable Medical Equipment & Medical Supplies | 6436 Steadman St, Dearborn, MI 48126-2057 | 2019-03-26 |
| 1831668995 | Advanced Medical Supplies | Durable Medical Equipment & Medical Supplies | 4211 Woodworth St, Dearborn, MI 48126-3477 | 2018-11-19 |
| 1174049506 | Dme Creative Care Solution Services LLC | Durable Medical Equipment & Medical Supplies | 7832 Wyoming St, Dearborn, MI 48126-4407 | 2017-08-17 |
| 1275078933 | Yfb Services LLC | Durable Medical Equipment & Medical Supplies | 2100 N Martha St, Dearborn, MI 48128-2312 | 2017-01-04 |
| 1548620370 | Z Coil Comfort Shoes | Durable Medical Equipment & Medical Supplies | 410 N Telegraph Rd, Dearborn, MI 48128-1619 | 2016-03-07 |
| 1902295066 | Nick Bazzy | Durable Medical Equipment & Medical Supplies | 5302 Royal Vale Ln, Dearborn, MI 48126-4211 | 2015-01-13 |
| 1154759884 | First Response Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 2020 N Lafayette St, Dearborn, MI 48128-1148 | 2013-10-15 |
| 1568713147 | Steves Medical Supply | Durable Medical Equipment & Medical Supplies | 22644 Michigan Ave, Dearborn, MI 48124-2116 | 2012-09-24 |
| Find all providers in DEARBORN | ||||
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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.