Organization Active NPI

Urology Specialists of Michigan, P.C.

  • Urology Physician
  • Royal Oak, MI
National Provider Identifier
1669497517
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UROLOGY SPECIALISTS OF MICHIGAN, P.C.
Practice address
3535 W 13 Mile Rd
Suite 501
Royal Oak, MI 48073-6710
Phone
(248) 551-2250
Fax
(248) 551-2240
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Donald F Moylan, M.D.
Title
President
Phone
(248) 551-9961

Specialties & licenses 1

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

Addresses

Primary practice location

3535 W 13 Mile Rd
Suite 501
Royal Oak, MI 48073-6710

Mailing address

3535 W 13 Mile Rd
Suite 501
Royal Oak, MI 48073-6710
Phone (248) 551-2250

National Provider Directory

National Provider Directory

Locations

3535 W 13 Mile Rd
Ste 501
Royal Oak, MI 48073
Phone (248) 288-1130

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": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1669497517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD",
            "address_2": "SUITE 501",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736710",
            "telephone_number": "248-551-2250",
            "fax_number": "248-551-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD",
            "address_2": "SUITE 501",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736710",
            "telephone_number": "248-551-2250",
            "fax_number": "248-551-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY SPECIALISTS OF MICHIGAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MOYLAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-551-9961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.