MICHIGAN INSTITUTE OF UROLOGY PC (NPI# 1295817799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295817799 |
| Entity Type | Organization |
| Organization Name | MICHIGAN INSTITUTE OF UROLOGY PC |
| Practice Address |
130 Town Center Drive Suite 101 Troy MI 48084-1773 |
| Mailing Address |
20952 12 Mile Road Suite 200 St. Clair Shores MI 48081-3203 |
| Practice Telephone | 2487400670 |
| Practice Fax Number | 2487400668 |
| Mailing Telephone | 5867714820 |
| Mailing Fax Number | 5867716620 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2015-03-19 |
| Authorized Official Name | ROBERT R DILORETO (PRESIDENT AND CEO) |
| 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 | BCBSM DME | 540E016120 | 01 |
| MI | RAILROAD MEDICARE | CB9133 | 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 |
| 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 |
130 TOWN CENTER DRIVE SUITE 101 |
| City | TROY |
| State | MI |
| Zip Code | 48084-1773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649264938 | Lynda J Wolf | Obstetrics & Gynecology | 130 Town Center Drive, Suite 106, Troy, MI 48084-1744 | 2005-09-01 |
| 1134482268 | Karen Condon Wheeler | Obstetrics & Gynecology | 130 Town Center Drive, Suite 106, Troy, MI 48084 | 2012-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
| 1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
| 1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
| 1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
| 1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
| 1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
| 1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
| Find all providers in zip 48084 | ||||
| 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 |
|---|---|---|---|---|
| 1649871161 | Martor Case Management LLC | Durable Medical Equipment & Medical Supplies | 400 Jordan Rd, Troy, NY 12180-8378 | 2020-11-02 |
| 1124668462 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2431 6th Ave Ste P, Troy, NY 12180-2227 | 2020-01-15 |
| 1720647449 | Medexa, LLC | Durable Medical Equipment & Medical Supplies | 4893 Rochester Rd Ste 100, Troy, MI 48085-4971 | 2019-06-06 |
| 1093370975 | Symed, Inc. | Durable Medical Equipment & Medical Supplies | 2820 W Maple Rd Ste 245, Troy, MI 48084-7065 | 2019-05-06 |
| 1033622733 | Paradygm Health Group | Durable Medical Equipment & Medical Supplies | 550 Stephenson Hwy Ste 450, Troy, MI 48083-1140 | 2017-11-16 |
| 1073037875 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 75 Vandenburgh Ave Ste 8, Troy, NY 12180-6039 | 2017-08-02 |
| 1699298307 | Anderson Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 4893 Rochester Rd Ste A, Troy, MI 48085-4971 | 2017-07-25 |
| 1760918882 | Aeroflow, Inc | Durable Medical Equipment & Medical Supplies | 2888 E Long Lake Rd Ste 126, Troy, MI 48085-3793 | 2017-05-10 |
| 1770034449 | Nexus LLC | Durable Medical Equipment & Medical Supplies | 1352 Combermere Dr Ste A, Troy, MI 48083-4803 | 2016-10-18 |
| 1801346283 | Publix Alabama LLC | Durable Medical Equipment & Medical Supplies | 1147 Us Hwy 231 South, Troy, AL 36081 | 2016-10-10 |
| Find all providers in TROY | ||||
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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.