PEDIATRIC UROLOGY OF MI
NPI 1356519920
Urology - Pediatric Urology in Troy, MI

NPI Status: Active since February 15, 2008

Contact Information

2221 LIVERNOIS RD STE 103
TROY, MI
ZIP 48083
Phone: (248) 519-0305
Fax: (248) 519-0315

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  • Organization
  • Urology
  • Pediatric Urology

About PEDIATRIC UROLOGY OF MI

This page provides the complete NPI Profile along with additional information for Pediatric Urology Of Mi, a provider established in Troy, Michigan operating as a Urology, focusing in pediatric urology . The healthcare provider is registered in the NPI registry with number 1356519920 assigned on February 2008. The practitioner's primary taxonomy code is 2088P0231X with license number 031012 (MI). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Kim Workman (Office Manager)

NPI
1356519920
Provider Name
PEDIATRIC UROLOGY OF MI
Entity Type
Organization
Location Address
2221 LIVERNOIS RD STE 103 TROY, MI 48083
Location Phone
(248) 519-0305
Location Fax
(248) 519-0315
Mailing Address
2221 LIVERNOIS RD STE 103 TROY, MI 48083
Mailing Phone
(248) 519-0305
Mailing Fax
(248) 519-0315
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-15-2008
Last Update Date
02-15-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Urology Pediatric Urology

Taxonomy Code
2088P0231X
Type
Allopathic & Osteopathic Physicians
License No.
031012
License State
MI
Taxonomy Description
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIM WORKMAN

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(248) 519-0305

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0F31834OTHER (01)MIBCBS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1356519920
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231061011894
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 0 + 6 + 1 + 0 + 1 + 1 + 8 + 9 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1356519920 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1861143224 ASHLEY HUANG DPT
Individual
Physical Therapist2221 LIVERNOIS RD STE 103
TROY, MI 48083
(248) 988-4410
1013780642 LAUREN DYSARZ DPT
Individual
Physical Therapist2221 LIVERNOIS RD STE 103
TROY, MI 48083
(248) 988-4410
1518618628 RACHEL MEERHAEGHE DPT
Individual
Physical Therapist2221 LIVERNOIS RD STE 103
TROY, MI 48083
(248) 988-4410
1609529155 EMET FLASHER DPT
Individual
Physical Therapist2221 LIVERNOIS RD STE 103
TROY, MI 48083
(248) 988-4410
1700385531 KATHERINE WELLS DPT
Individual
Physical Therapist2221 LIVERNOIS RD STE 103
TROY, MI 48083
(248) 988-4410
1457162497 STEPHANIE WELLS
Individual
Physical Therapy Assistant2221 LIVERNOIS RD STE 103
TROY, MI 48083
(248) 988-4410
1497874432MRS. CLARE JANE CLOR P.T.
Individual
Physical Therapist2221 LIVERNOIS RD STE 103
TROY, MI 48083
(248) 988-4410

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356519920, enumerated in the NPI registry as an "organization" on February 15, 2008

The provider is located at 2221 Livernois Rd Ste 103 Troy, Mi 48083 and the phone number is (248) 519-0305

This medical organization specializes in Urology with taxonomy code 2088P0231X with a focus in Pediatric Urology

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 15, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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