MICHIGAN INSTITUTE OF UROLOGY PC (NPI# 1881776383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881776383 |
| Entity Type | Organization |
| Organization Name | MICHIGAN INSTITUTE OF UROLOGY PC |
| Practice Address |
44200 Woodward Suite 207 Pontiac MI 48341 |
| Mailing Address |
20952 12 Mile Road Suite 200 St. Clair Shores MI 48081-3203 |
| Practice Telephone | 2483226103 |
| Practice Fax Number | 2483226108 |
| 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 | BCBSM DME | 540E016120 | 01 |
| 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 |
| 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 |
| 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 |
44200 WOODWARD SUITE 207 |
| City | PONTIAC |
| State | MI |
| Zip Code | 48341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114914835 | Todd Y Nida | Specialist | 44200 Woodward, Ste. 112, Pontiac, MI 48341-5045 | 2005-09-29 |
| 1871558569 | Marko R Gudziak | Urology | 44200 Woodward, Suite 207, Pontiac, MI 48341-2981 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415837 | Brittany Taylor Shandor | Registered Nurse | 32 East, 1200 Telegraph Rd, Pontiac, MI 48341 | 2020-10-22 |
| 1013534999 | Siddharth Chopra | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue Saint Joseph Mercy Oakland Hospit, Medical Education H-23, Pontiac, MI 48341 | 2020-06-26 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1245856145 | Sarah Fatima | Student in an Organized Health Care Education/Training Program | St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-17 |
| 1407471188 | Tyler Schaefer | Emergency Medical Technician, Basic | 32east 1200 N. Telegraph Rd., Pontiac, MI 48341 | 2020-06-09 |
| 1639793581 | Yash Kirankumar Varma | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-05 |
| 1326661687 | Fnu Kavita | Student in an Organized Health Care Education/Training Program | C/o Shelly Casey, St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue Medical Education - H23, Pontiac, MI 48341 | 2020-05-21 |
| 1801452578 | Lolita Curry | Registered Nurse | 32 East 1200 Telegraph, Pontiac, MI 48341 | 2019-05-17 |
| 1619530060 | Priyadarshini Dixit | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, St. Joseph Mercy Oakland Hospita, Pontiac, MI 48341 | 2019-04-20 |
| 1891358370 | Anil Gurpersaud | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave., St. Joseph Mercy Oakland, Pontiac, MI 48341 | 2019-04-19 |
| Find all providers in zip 48341 | ||||
| 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 |
|---|---|---|---|---|
| 1821395229 | Express Care Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 12 W Huron St, Pontiac, MI 48342-2100 | 2011-02-21 |
| 1760678254 | American Medical Services | Durable Medical Equipment & Medical Supplies | 825 W Huron St, Pontiac, MI 48341-1530 | 2007-09-19 |
| 1720273428 | Siri Pharmacy &medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 418 W Huron St, Pontiac, MI 48341-1425 | 2007-09-06 |
| 1073680799 | Specialized Homecare Inc | Durable Medical Equipment & Medical Supplies | 1535 Highwood E, Pontiac, MI 48340-1234 | 2006-11-29 |
| 1326123340 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1034 W. Reynolds Street, Pontiac, IL 61764 | 2006-10-26 |
| 1063521342 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 1186 Baldwin Avenue, Pontiac, MI 48340-1909 | 2006-08-30 |
| 1154430437 | Perry Drug Stores Inc and Subsidiaries | Durable Medical Equipment & Medical Supplies | 360 North Martin Luther King Jr Boulevard, Pontiac, MI 48342-1712 | 2006-08-30 |
| 1578573424 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 3 South Telegraph Road, Pontiac, MI 48341-1568 | 2006-08-09 |
| 1245245422 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1001 W Reynolds St, Pontiac, IL 61764-9776 | 2006-07-29 |
| 1043232168 | Helping Hands Medical Supplies & Equipment, LLC | Durable Medical Equipment & Medical Supplies | 831 W Huron St, Pontiac, MI 48341-1530 | 2006-07-25 |
| Find all providers in PONTIAC | ||||
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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.