Organization Active NPI

Tri-County Urologists P.C

  • Urology Physician
  • Livonia, MI
National Provider Identifier
1154573442
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
TRI-COUNTY UROLOGISTS P.C
Practice address
14800 Farmington Rd
Ste 108
Livonia, MI 48154-5461
Phone
(734) 261-7401
Fax
(734) 261-7417
NPI assigned
Oct 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Authorized official

Name
Dr. Ronald W Wadle, DO
Title
Physcian
Phone
(734) 261-7417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

14800 Farmington Rd
Ste 108
Livonia, MI 48154-5461

Mailing address

17405 Hall Rd
Ste B
Macomb, MI 48044-4061
Phone (586) 228-0150

National Provider Directory

National Provider Directory

Locations

14800 Farmington Rd
Ste 108
Livonia, MI 48154
Phone (734) 261-7401

NPI Registry JSON

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1154573442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17405 HALL RD",
            "address_2": "STE B",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480444061",
            "telephone_number": "586-228-0150",
            "fax_number": "586-228-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 FARMINGTON RD",
            "address_2": "STE 108",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545461",
            "telephone_number": "734-261-7401",
            "fax_number": "734-261-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY UROLOGISTS P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "WADLE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSCIAN",
        "authorized_official_telephone_number": "734-261-7417",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.