Preferred Urology Consultants, P.C

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

4301062234 Issued in MI

Legal business name

PREFERRED UROLOGY CONSULTANTS, P.C

Practice address

29201 Telegraph Rd
Suite 460
Southfield, MI 48034-1331

Phone

(248) 353-3060

Fax

(248) 353-0312

NPI assigned

May 7, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael David Lutz, M.D.

Title

President

Phone

(248) 353-3060

Specialties & licenses 3

Addresses

Other identifiers 12

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1063625382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD",
            "address_2": "SUITE 460",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341331",
            "telephone_number": "248-353-3060",
            "fax_number": "248-353-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 TELEGRAPH RD",
            "address_2": "SUITE 460",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341331",
            "telephone_number": "248-353-3060",
            "fax_number": "248-353-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED UROLOGY CONSULTANTS, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-353-3060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology",
            "state": "MI",
            "license": "4301049075",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology",
            "state": "MI",
            "license": "4301062234",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology",
            "state": "MI",
            "license": "4301067706",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI JAMES D RELLE MD",
            "identifier": "1215919048",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI MICHAEL D LUTZ",
            "identifier": "1326020157",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FOR MICHAEL D LUTZ",
            "identifier": "3406361441",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI BRIAN D SEIFMAN MD",
            "identifier": "1831171669",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2758760",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FOR BRIAN SEIFMAN",
            "identifier": "3406361431",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE BRIAN SEIFMAN MD",
            "identifier": "4301067706",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4513238",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FOR JAMES D RELLE",
            "identifier": "3406361451",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2995460",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE MICHAEL D LUTZ MD",
            "identifier": "4301049075",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE JAMES D RELLE MD",
            "identifier": "4301062234",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerrigan Pratt
• Makayla Pratt
• Micah Pratt
• Precious Home Care, Inc
• Allison Precord
• Premier at Home Care LLC
• Premier Family Medicine PLLC
• Premier Health Network, LLC
• Premier Home Pharmacy Inc
• Premier Medical Development (Premier MD)

• Urology Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Urology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.