Michael Urban, B.S., CNIM

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

2086 Issued in IL

Practice address

812 Avis Dr
Ann Arbor, MI 48108-9649

Phone

(800) 638-7564

NPI assigned

Feb 29, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1922372564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 SNELL AVE",
            "address_2": "APT 2704",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951362346",
            "telephone_number": "734-945-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 AVIS DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481089649",
            "telephone_number": "800-638-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBAN",
        "first_name": "MICHAEL",
        "credential": "B.S., CNIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "IL",
            "license": "2086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Mariah Upton-Heacock
• Frederick Warren Upton, PH.D.
• Steven Christian Upton, PA
• Susan G Urba, MD
• Janet L Urban, PA
• Bradley J Uren, MD
• Gilbert Ureno, LLP
• Esteban Urias, MD
• Manuela Uribe, LMSW
• Jeffrey Urist, PH.D.

• Electroneurodiagnostic Specialist/Technologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Electroneurodiagnostic Specialist/Technologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.