NPIMap

Organization Active NPI

Michiana Urology PC

  • Urology Physician
  • Buchanan, MI
National Provider Identifier
1851592935
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4301077717 Issued in MI
Legal business name
MICHIANA UROLOGY PC
Practice address
804 E Front St
Buchanan, MI 49107-1444
Phone
(269) 695-3897
Fax
(269) 695-0460
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kent A Kirby, M.D.
Title
Owner Physician
Phone
(269) 695-3897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 4301077717 MI Primary

Addresses

Primary practice location

804 E Front St
Buchanan, MI 49107-1444

Mailing address

804 E Front St
Buchanan, MI 49107-1444
Phone (269) 695-3897

National Provider Directory

National Provider Directory

Locations

804 E Front St
Buchanan, MI 49107
Phone (269) 695-3897

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851592935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 E FRONT ST",
            "city": "BUCHANAN",
            "state": "MI",
            "postal_code": "491071444",
            "telephone_number": "269-695-3897",
            "fax_number": "269-695-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 E FRONT ST",
            "city": "BUCHANAN",
            "state": "MI",
            "postal_code": "491071444",
            "telephone_number": "269-695-3897",
            "fax_number": "269-695-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIANA UROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "269-695-3897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "MI",
            "license": "4301077717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buchanan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.