DR. RICHARD ANTHONY SANTUCCI (NPI# 1669412565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669412565 |
| Entity Type | Individual |
| Full Name | DR. RICHARD ANTHONY SANTUCCI |
| Credential | MD |
| Practice Address |
4160 John R St Ste 1021 Detroit MI 48201-2017 |
| Practice Telephone | 8664374227 |
| Practice Fax Number | 3137458222 |
| Mailing Telephone | 8664374227 |
| Mailing Fax Number | 3137458222 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 4301075644 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4220951 | 05 | |
| MI | 1669412565 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4201 Saint Antoine St, Uhc 9c-31, Detroit, MI 482012153 | 3137453553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407151012 | Richard Santucci | Dietitian, Registered | 3958 Brown Park Dr Ste D, Hilliard, OH 43026-1160 | 2011-01-13 |
| 1356839443 | Richard Dominic Santucci | Chiropractor | 547 Main Street, Hackensack, NJ 07601 | 2018-04-25 |
| Street Address |
4160 JOHN R ST STE 1021 |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902311525 | Gurmeet Kaur Gogia | Nurse Practitioner | 4160 John R St Ste 1021, Detroit, MI 48201-2017 | 2017-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| 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 |
|---|---|---|---|---|
| 1669771507 | Mazen Abdelhady | Urology | 6001 W Outer Dr Ste 350, Detroit, MI 48235-2686 | 2011-03-17 |
| 1922178003 | Ramarao Kaza | Urology | 4160 John R Street, Suite 809, Detroit, MI 48201 | 2006-11-08 |
| 1952379430 | Conrad Cuthbert Maitland | Urology | 7441 W 7 Mile Rd, Detroit, MI 48221-2123 | 2006-03-09 |
| 1043879323 | Ali Mohamed Mahmoud | Urology | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2019-06-10 |
| 1538652946 | Hoang June Tang | Urology | Henry Ford Hospital, Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2018-06-11 |
| 1376031294 | Amit Kirit Patel | Urology | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2018-04-26 |
| 1033654769 | Sohrab Arora | Urology | 2799 W Grand Blvd, Henry Ford Hospital, Medical Education Department, Detroit, MI 48202-2608 | 2017-01-04 |
| 1285030734 | Ravi Barod | Urology | 2799 W Grand Blvd, K-9, Detroit, MI 48202-2608 | 2014-11-11 |
| 1992048748 | Samantha Raffee | Urology | 2799 W Grand Blvd, Detroit, MI 48202 | 2013-03-30 |
| 1215277934 | Naveen Kachroo | Urology | 2799 W Grand Blvd, Vattikuti Urology Institute, Henry Ford Hospital, Detroit, MI 48202-2608 | 2013-02-16 |
| Find all providers in DETROIT | ||||
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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.