Active NPI
Mary Therese Urbanek, M.S. PA-C
- Physician Assistant
- Royal Oak, MI
National Provider Identifier
1497279509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601002717
- Practice address
- 126 Kayser Ave
Royal Oak, MI 48067-2865 - Phone
- (248) 399-3923
- NPI assigned
- Jul 31, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601002717 | MI | Primary |
Addresses
Primary practice location
126 Kayser Ave
Royal Oak, MI 48067-2865
Mailing address
126 Kayser Ave
Royal Oak, MI 48067-2865
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601002717 | MI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501459200000",
"number": "1497279509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 KAYSER AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480672865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 KAYSER AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480672865",
"telephone_number": "248-399-3923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URBANEK",
"first_name": "MARY",
"middle_name": "THERESE",
"name_prefix": "Ms.",
"credential": "M.S. PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-31",
"last_updated": "2017-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601002717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Royal Oak, MI
- United Case Management LLC
- United Heart Family Serivces LLC
- University Neurosurgical Associates, PC
- University of Detroit Mercy
- Stephen Michael Upchurch, D.C.
- Urbanik Psychological Services, PLLC
- Christopher Urbanik, PHD, LP
- Gabrielle Ureste, PT
- Urology Specialists of Michigan, P.C.
- Alison Uzieblo, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.