Robert L Elgin (NPI# 1053674101, PAC ID# 9436443173) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1053674101 |
| PAC ID by PECOS | 9436443173 |
| Professional Enrollment ID | I20170605002244 |
| Full Name | Robert L Elgin |
| Organization Legal Name | MICHIGAN INSTITUTE OF UROLOGY PC |
| Address |
20952 E 12 Mile Rd Suite 200 Saint Clair Shores MI 48081-3203 |
| Phone Number | 5867714820 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 1052223492 |
| Number of Group Practice Members | 46 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230047 | HENRY FORD MACOMB HOSPITAL |
| 230089 | WILLIAM BEAUMONT HOSPITAL-GROSSE POINTE |
| 230227 | MCLAREN MACOMB |
| Address | Phone | Organization |
|---|---|---|
| 36500 S Gratiot Ave, 102 Multispecialties, Clinton Township, MI 48035-1772 | 5867909003 | MCLAREN MACOMB |
| 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 | 5867714820 | MICHIGAN INSTITUTE OF UROLOGY PC |
| Organization Legal Name | MICHIGAN INSTITUTE OF UROLOGY PC |
| Physicians | 56 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kalen J Rimar | Urology | Michigan Institute of Urology PC | 130 Town Ctr Dr, Suite 200, Troy, MI 48084-1744 |
| John R Harding | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| Laris Edgar Galejs | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| Jaclyn C Milose | Urology | Michigan Institute of Urology PC | 18100 Oakwood Blvd, Suite 315, Dearborn, MI 48124-4085 |
| Michael Ian Ghilezan | Radiation Oncology | Michigan Institute of Urology PC | 130 Town Ctr Dr, Suite 200, Troy, MI 48084-1744 |
| Brian Guz | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| Gregory V Mcintosh | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| Scott M Wilkinson | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| Ryan J Nelson | Urology | Michigan Institute of Urology PC | 44344 Dequindre Rd, Suite 210, Sterling Heights, MI 48314-1039 |
| James D Relle | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| Street Address |
20952 E 12 MILE RD SUITE 200 |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip | 48081-3203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John R Harding | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| Laris Edgar Galejs | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| Brian Guz | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| Gregory V Mcintosh | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| Scott M Wilkinson | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| James D Relle | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| Jason Matthew Hafron | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| Dinesh John Telang | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| Pradeep Nagaraju | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| Scott I Sircus | Urology | Michigan Institute of Urology PC | 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3203 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Xavier Burgoyne | Family Medicine | Ascension St John Hospital | 19901 E 10 Mile Rd, Harper Family Practice, St Clair Shores, MI 48081-1069 |
| Anthony Gerald Paniccia | Family Medicine | Ascension St John Hospital | 19901 E 10 Mile Rd, Harper Family Practice, St Clair Shores, MI 48081-1069 |
| Neil Thomas Shaw | Podiatry | Anthony V Benenati Dpm PC | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 |
| James R Hrynik | Certified Registered Nurse Anesthetist (crna) | Ascension St John Hospital | 21000 E 12 Mile Rd, St Clair Shores, MI 48081-1116 |
| Douglas C Kubek | Otolaryngology | Ascension St John Hospital | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1156 |
| Wafa Barkho | Family Medicine | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Ronald D Hertz | Internal Medicine | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Brigitte M Ngoyi | Obstetrics/gynecology | Ascension Medical Group Michigan | 21000 E 12 Mile Rd, Suite 102, Saint Clair Shores, MI 48081-1156 |
| John Woo Lee | Pulmonary Disease | Pulmonary and Critical Care Associates PC | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1156 |
| Regina R Frost | Obstetrics/gynecology | Ascension Medical Group Michigan | 21000 E 12 Mile Rd, Suite 102, Saint Clair Shores, MI 48081-1156 |
| Find all physicians in zip 48081 | |||
| City | SAINT CLAIR SHORES |
| Zip Code | 48081 |
| Specialty | UROLOGY |
| City + Specialty | SAINT CLAIR SHORES + UROLOGY |
Please comment or provide details below to improve the information on Robert L Elgin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.