Active NPI
Oasis Health Urology, PLLC
- Urology Physician
- Petoskey, MI
National Provider Identifier
1215724745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- OASIS HEALTH UROLOGY, PLLC
- Practice address
- 932 Spring St Ste 101
Petoskey, MI 49770-2286 - Phone
- (231) 489-8298
- Fax
- (231) 489-8299
- NPI assigned
- Apr 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kyle Matthew Waisanen, MD
- Title
- Owner
- Phone
- (231) 489-8298
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
932 Spring St Ste 101
Petoskey, MI 49770-2286
Mailing address
932 Spring St Ste 101
Petoskey, MI 49770-2286
Phone (231) 489-8298
Other names 1
- Oasis Health Urology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
932 Spring St
Ste 101
Petoskey, MI 49770
Phone (231) 487-5315
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754870400000",
"number": "1215724745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "932 SPRING ST STE 101",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702286",
"telephone_number": "231-489-8298",
"fax_number": "231-489-8299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "932 SPRING ST STE 101",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702286",
"telephone_number": "231-489-8298",
"fax_number": "231-489-8299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OASIS HEALTH UROLOGY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-21",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A",
"authorized_official_last_name": "WAISANEN",
"authorized_official_first_name": "KYLE",
"authorized_official_middle_name": "MATTHEW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "231-489-8298",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Oasis Health Urology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Petoskey, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.