PREFERRED UROLOGY CONSULTANTS, P.C (NPI# 1063625382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063625382 |
| Entity Type | Organization |
| Organization Name | PREFERRED UROLOGY CONSULTANTS, P.C |
| Practice Address |
29201 Telegraph Rd Suite 460 Southfield MI 48034-1331 |
| Practice Telephone | 2483533060 |
| Practice Fax Number | 2483530312 |
| Mailing Telephone | 2483533060 |
| Mailing Fax Number | 2483530312 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2008-02-18 |
| Authorized Official Name | DR. MICHAEL DAVID LUTZ (PRESIDENT) |
| Authorized Official Telephone | 2483533060 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | 4301049075 | MI | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 4301067706 | MI | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 4301062234 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2758760 | 05 | |
| MI | BCBS FOR MICHAEL D LUTZ | 3406361441 | 01 |
| MI | NPI MICHAEL D LUTZ | 1326020157 | 01 |
| MI | NPI BRIAN D SEIFMAN MD | 1831171669 | 01 |
| MI | LICENSE MICHAEL D LUTZ MD | 4301049075 | 01 |
| MI | 4513238 | 05 | |
| MI | 2995460 | 05 | |
| MI | BCBS FOR JAMES D RELLE | 3406361451 | 01 |
| MI | LICENSE BRIAN SEIFMAN MD | 4301067706 | 01 |
| MI | BCBS FOR BRIAN SEIFMAN | 3406361431 | 01 |
| MI | NPI JAMES D RELLE MD | 1215919048 | 01 |
| MI | LICENSE JAMES D RELLE MD | 4301062234 | 01 |
| Street Address |
29201 TELEGRAPH RD SUITE 460 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034-1331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073504122 | David G Heidemann | Ophthalmology | 29201 Telegraph Rd, Suite 101, Southfield, MI 48034-1331 | 2005-10-28 |
| 1689184202 | Jihan Elise El-kurdi | Physical Therapy Assistant | 29201 Telegraph Rd, Southfield, MI 48034-1331 | 2017-10-10 |
| 1417400581 | Maggie Leonards | Audiologist | 29201 Telegraph Rd, Suite 500, Southfield, MI 48034-1331 | 2016-07-25 |
| 1174963045 | Abraham Isaias Gomez Hernandez | Student in an Organized Health Care Education/Training Program | 29201 Telegraph Rd, Ste 324, Southfield, MI 48034-1331 | 2013-06-25 |
| 1265794739 | Michfoot Surgeons, P.C. | Podiatrist | 29201 Telegraph Rd, Suite 100, Southfield, MI 48034-1331 | 2012-06-11 |
| 1528333051 | Amy H. Rogers | Speech-Language Pathologist | 29201 Telegraph Rd, Suite 500, Southfield, MI 48034-1331 | 2012-03-16 |
| 1164756276 | Harry Hunter Jr. | Social Worker | 29201 Telegraph Rd, 550, Southfield, MI 48034-1331 | 2009-09-22 |
| 1013147586 | Chirag Gupta | Optometrist | 29201 Telegraph Rd, Suite # 101, Southfield, MI 48034-1331 | 2009-07-20 |
| 1811127376 | Elliott Michael Wolf | Psychiatry & Neurology | 29201 Telegraph Rd, Suite 600, Southfield, MI 48034-1331 | 2009-07-19 |
| 1306075551 | Phoenix Medical Group, P.C. | Internal Medicine | 29201 Telegraph Rd, 450, Southfield, MI 48034-1331 | 2009-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
| 1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
| 1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
| 1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
| 1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
| 1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
| 1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
| 1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
| 1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
| Find all providers in zip 48034 | ||||
| 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 |
|---|---|---|---|---|
| 1912324211 | Boston Medical Group, P.C. | Urology | 24901 Northwestern Hwy., Suite 615, Southfield, MI 48075 | 2014-03-25 |
| 1851592489 | Melvin L. Hollowell, M.d., F.a.c.s. | Urology | 20905 Greenfield Rd Ste 507, Southfield, MI 48075-5351 | 2007-05-30 |
| 1538334768 | Marc S Arnkoff M D and Gregory L. Weigler D O P C | Urology | 26400 W 12 Mile Rd, Suite 70, Southfield, MI 48034-1700 | 2008-04-29 |
| 1083887822 | George A Lightbourn Md PC | Urology | 29600 Northwestern Hwy, Suite 104, Southfield, MI 48034-1016 | 2008-04-11 |
| 1578750006 | Tewodros Fesseha, M.d., P.C. | Urology | 20905 Greenfield Rd, Suite 407, Southfield, MI 48075-5360 | 2007-09-28 |
| 1558411512 | Michigan Urological Institute | Urology | 22250 Providence Dr, Suite 203, Southfield, MI 48075-4825 | 2007-01-11 |
| 1639241441 | Melvin Laverne Hollowell | Urology | 20905 Greenfield, #507, Southfield, MI 48075 | 2006-11-15 |
| 1285643148 | George A Lightbourn | Urology | 29600 Northwestern Hwy, Suite 104, Southfield, MI 48034-1016 | 2006-08-07 |
| 1528011830 | Jeffrey Lawrence O'connor | Urology | 22250 Providence Dr, Suite 203, Southfield, MI 48075-4825 | 2006-05-18 |
| 1336192400 | James Bernard Smith Jr. | Urology | 22250 Providence Dr, Suite 203, Southfield, MI 48075-4825 | 2006-05-18 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48034 |
Please comment or provide details below to improve the information on PREFERRED UROLOGY CONSULTANTS, P.C.
| 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.