Urology Associates PC of Grand Rapids

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

UROLOGY ASSOCIATES PC OF GRAND RAPIDS

Practice address

245 Cherry St SE
Suite 202
Grand Rapids, MI 49503-4607

Phone

(616) 459-3551

Fax

(616) 459-1060

NPI assigned

Jul 26, 2006

Last updated

Dec 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacy Jett

Title

Practice Administrator

Phone

(616) 459-3551

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Bernard Casamento, M.D.

  • Urology Physician
  • Grand Rapids, MI
  • NPI 1780607044
  Medicare reassignment Care Compare group
• Chase Burrows Heilbronn

  • Urology Physician
  • Grand Rapids, MI
  • NPI 1508355090
  Medicare reassignment Care Compare group
• Michael Kozminski, MD

  • Urology Physician
  • Grand Rapids, MI
  • NPI 1750678264
  Medicare reassignment Care Compare group
• Marie P Nizienski, PA-C

  • Physician Assistant
  • Grand Rapids, MI
  • NPI 1144517939
  Medicare reassignment Care Compare group
• Erik M Ratchford, D.O.

  • Urology Physician
  • Grand Rapids, MI
  • NPI 1003013392
  Medicare reassignment Care Compare group
• Houssam Attal, MD

  • Cytopathology Physician
  • Kalamazoo, MI
  • NPI 1760478598
  Medicare reassignment
• Alero Fregene Inyang, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Ann Arbor, MI
  • NPI 1447460506
  Medicare reassignment
• Kim Alan Mills, MD

  • Cytopathology Physician
  • Kalamazoo, MI
  • NPI 1386637692
  Medicare reassignment
• Timothy J Pelkey, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Wyoming, MI
  • NPI 1942296785
  Medicare reassignment
• Paul Nicholas Rodriguez, M.D.

  • Urology Physician
  • Grand Rapids, MI
  • NPI 1790709996
  Medicare reassignment
• Anna Puzanov, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Lewiston, ME
  • NPI 1033394416

  MI

  Medicare reassignment
• Daniel Lester Bauer, M.D.

  • Urology Physician
  • Grand Rapids, MI
  • NPI 1508880790
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1073536272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 CHERRY ST SE",
            "address_2": "SUITE 202",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034607",
            "telephone_number": "616-459-3551",
            "fax_number": "616-459-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 CHERRY ST SE",
            "address_2": "SUITE 202",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034607",
            "telephone_number": "616-459-3551",
            "fax_number": "616-459-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY ASSOCIATES PC OF GRAND RAPIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "JETT",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "616-459-3551"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Paul Urbanski, AGBNP-C, DNP
• Torben Harstad Urdahl, MD
• Alyssa Urhammer, DPT
• Jacob Urlaub
• Urogynecology Associates P.C.
• Urology Surgeons PC
• Sara Rish Urquhart, MD
• Natasa Urukalo-Harshman, D.D.S.
• US Pain Relief PLLC
• Eliza June Usiak, PA

• Urology Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Urology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.