PEDIATRIC UROLOGY OF MI
NPI 1356519920
Urology - Pediatric Urology in Troy, MI

Q: What is Pediatric Urology Of Mi's NPI number?

The NPI number for Pediatric Urology Of Mi is 1356519920. It was assigned to this organization in the NPPES registry on February 15, 2008.

Q: What is Pediatric Urology Of Mi's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Active since February 15, 2008

2221 LIVERNOIS RD STE 103, TROY, MI 48083(248) 519-0305(248) 519-0315 Get Directions Write a Review

NPPES record last updated: February 15, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pediatric Urology Of Mi NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC UROLOGY OF MI (NPI 1356519920) is a healthcare organization registered as a pediatric urology in Troy, Michigan and active in the NPI registry since February 2008. The organization lists Kim Workman, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1356519920

Entity TypeOrganization

Primary Taxonomy2088P0231X

Legal Business NamePEDIATRIC UROLOGY OF MI

Location Address2221 LIVERNOIS RD STE 103Troy, MI 48083-1603

Mailing Address2221 Livernois Rd Ste 103Troy, MI 48083-1603 · (248) 519-0305 · Fax (248) 519-0315

Phone(248) 519-0305

Fax(248) 519-0315

Organization SubpartNo

Authorized OfficialKim WorkmanOffice Manager · (248) 519-0305

Enumeration DateFebruary 15, 2008

✔ NPI 1356519920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians

Taxonomy Code2088P0231X

License✔ Licensed in MI · 031012

Definition

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

2221 LIVERNOIS RD STE 103, Troy, MI 48083

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Other Identifiers 1

Other0F31834MI · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN DYSARZ DPT

Physical Therapist