Rochester Urology PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

ROCHESTER UROLOGY PC

Practice address

1202 Walton Blvd
Suite 211
Rochester Hills, MI 48307-6900

Phone

(248) 650-4699

Fax

(248) 650-4696

NPI assigned

Apr 21, 2006

Organization subpart

No

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

Authorized official

Name

Robert A Badalament, MD

Title

Owner

Phone

(248) 650-4699

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Prof Corporation Other name

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/uc35383_rochesterurologypc

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1689630568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 WALTON BLVD",
            "address_2": "SUITE 211",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076900",
            "telephone_number": "248-650-4699",
            "fax_number": "248-650-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 WALTON BLVD",
            "address_2": "SUITE 211",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076900",
            "telephone_number": "248-650-4699",
            "fax_number": "248-650-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER UROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "BADALAMENT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-650-4699",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "OF323590",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prof Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Urology Physician in Rochester Hills, MI
• Providers in Rochester Hills, 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 15, 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.