Consulting Urology Associates PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

CONSULTING UROLOGY ASSOCIATES PLLC

Practice address

2090 Jolly Rd Ste 150
Okemos, MI 48864-6036

Phone

(517) 349-3900

NPI assigned

Sep 29, 2025

Last updated

Sep 29, 2025By 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

Lora Fair

Title

Billing Manager

Phone

(517) 349-1379

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 7

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.

• Jacob Mark Clapper, PA

  • Physician Assistant
  • Okemos, MI
  • NPI 1730677238
  Medicare reassignment Care Compare group NPD
• Samantha Dimario

  • Physician Assistant
  • Wyandotte, MI
  • NPI 1447110473
  Medicare reassignment Care Compare group NPD
• Rhyan Pensa, PA - C

  • Physician Assistant
  • Okemos, MI
  • NPI 1073210035
  Medicare reassignment Care Compare group NPD
• Colton C Prudnick, DO

  • Urology Physician
  • East Lansing, MI
  • NPI 1619380334
  Medicare reassignment Care Compare group NPD
• Eric Robert Stockall, MD

  • Urology Physician
  • Okemos, MI
  • NPI 1972560415
  Medicare reassignment Care Compare group NPD
• Kalysia Zimmerman, PA-C

  • Physician Assistant
  • Grand Rapids, MI
  • NPI 1912427121
  Medicare reassignment Care Compare group NPD
• Donald D Berry, PA

  • Physician Assistant
  • Troy, MI
  • NPI 1164870275
  Medicare reassignment

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

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1356214936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 JOLLY RD STE 150",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488646036",
            "telephone_number": "517-349-1379",
            "fax_number": "517-349-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 JOLLY RD STE 150",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488646036",
            "telephone_number": "517-349-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 Hidden Meadows Dr Ste 290",
            "address_purpose": "LOCATION",
            "city": "Hillsdale",
            "state": "MI",
            "postal_code": "492429812",
            "country_code": "US",
            "telephone_number": "517-349-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 Spring Arbor Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492033895",
            "country_code": "US",
            "telephone_number": "517-349-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 N Madison St Ste 3C",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "MI",
            "postal_code": "490681143",
            "country_code": "US",
            "telephone_number": "517-349-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONSULTING UROLOGY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "FAIR",
        "authorized_official_first_name": "LORA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "517-349-1379"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kelly Marie Conklin, RN
• Stephanie Conklin, OTRL
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• Carmen Maria Connelly
• Convenient Family Dental Center, P.C. (Convenient Family Dental)
• Eniyah Conway
• Gregory D Cook, ACSW, CSW
• Holly Christine Cook, PA-C
• Justin Ryan Cook, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.