| Capital Urological Associates | |
|
2175 Coolidge Rd East Lansing MI 48823-1379 | |
| (517) 913-1515 | |
| (517) 349-3939 |
| Full Name | Capital Urological Associates |
|---|---|
| Speciality | Radiology |
| Location | 2175 Coolidge Rd, East Lansing, Michigan |
| Authorized Official Name and Position | David L. Corteville (CEO) |
| Authorized Official Contact | 5179995900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Urological Associates 2175 Coolidge Rd East Lansing MI 48823-1379 Ph: (517) 999-5900 | Capital Urological Associates 2175 Coolidge Rd East Lansing MI 48823-1379 Ph: (517) 913-1515 |
| NPI Number | 1932533692 |
|---|---|
| Provider Enumeration Date | 08/29/2013 |
| Last Update Date | 07/05/2023 |
| Certification Date | 07/05/2023 |
| Medicare PECOS PAC ID | 6002045895 |
|---|---|
| Medicare Enrollment ID | O20140127000294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932533692 | NPI | - | NPPES |
| Provider Name | Seth T Ferguson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063462554 PECOS PAC ID: 9335044056 Enrollment ID: I20031204000941 |
| Provider Name | Timothy M Heilman |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629021456 PECOS PAC ID: 3779572060 Enrollment ID: I20040511001038 |
| Provider Name | Melissa Halvorson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1114994365 PECOS PAC ID: 2961476767 Enrollment ID: I20040825001235 |
| Provider Name | Eric R Stockall |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972560415 PECOS PAC ID: 4486618113 Enrollment ID: I20041112000930 |
| Provider Name | Robert J Dimitriou |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1932163763 PECOS PAC ID: 0648222125 Enrollment ID: I20050211000897 |
| Provider Name | Bryan P Shumaker |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013972934 PECOS PAC ID: 1052223419 Enrollment ID: I20050217000881 |
| Provider Name | Paul D Minnick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700982485 PECOS PAC ID: 1052224532 Enrollment ID: I20050317000099 |
| Provider Name | Roger D Annis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952350480 PECOS PAC ID: 0143261305 Enrollment ID: I20050518000254 |
| Provider Name | Mohamed Elnabtity |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1255385910 PECOS PAC ID: 0042271173 Enrollment ID: I20051011001030 |
| Provider Name | Jon R Chester |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467464537 PECOS PAC ID: 8022013424 Enrollment ID: I20060918000425 |
| Provider Name | Michael T Wheeler |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003818766 PECOS PAC ID: 3072595487 Enrollment ID: I20061107000163 |
| Provider Name | Rebecca Broschart |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205824869 PECOS PAC ID: 6507857661 Enrollment ID: I20061228000138 |
| Provider Name | Raechel Coombs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396969267 PECOS PAC ID: 0941393128 Enrollment ID: I20070904000458 |
| Provider Name | Kristy O Marske |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225124373 PECOS PAC ID: 3375627821 Enrollment ID: I20080222000384 |
| Provider Name | George P Poletes |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1871761247 PECOS PAC ID: 5395820260 Enrollment ID: I20080317000640 |
| Provider Name | Curt J Winnie |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1841264900 PECOS PAC ID: 8224099577 Enrollment ID: I20080719000049 |
| Provider Name | Omar M Qahwash |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1669649406 PECOS PAC ID: 6800969627 Enrollment ID: I20080826000298 |
| Provider Name | Cheryl G Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023022886 PECOS PAC ID: 8022178318 Enrollment ID: I20081117000344 |
| Provider Name | Kierstin Drzal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336240084 PECOS PAC ID: 5890850689 Enrollment ID: I20090211000134 |
| Provider Name | Jan Q Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831294016 PECOS PAC ID: 1355499203 Enrollment ID: I20090501000380 |
| Provider Name | Lois Rodgers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598908261 PECOS PAC ID: 8022160647 Enrollment ID: I20090713000433 |
| Provider Name | Michelle L Gallagher |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871790733 PECOS PAC ID: 2961556758 Enrollment ID: I20090813000060 |
| Provider Name | Kristy A Galehouse |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649507989 PECOS PAC ID: 4486793668 Enrollment ID: I20091201000355 |
| Provider Name | Kirk J Wojno |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1386620730 PECOS PAC ID: 3678534815 Enrollment ID: I20100106000365 |
| Provider Name | Andrew W Messenger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073543666 PECOS PAC ID: 9032004627 Enrollment ID: I20100126000343 |
| Provider Name | Lars P Andersen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902835309 PECOS PAC ID: 6305731993 Enrollment ID: I20100126000392 |
| Provider Name | Patrick L Fabrizio |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1356350938 PECOS PAC ID: 7810069168 Enrollment ID: I20100604001130 |
| Provider Name | Edward K Lee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1013930577 PECOS PAC ID: 4082786330 Enrollment ID: I20100604001151 |
| Provider Name | Wilhelm Teodoro Lawrence |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1942304225 PECOS PAC ID: 2466452958 Enrollment ID: I20100721000144 |
| Provider Name | Christopher J Abood |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1639122476 PECOS PAC ID: 4880661016 Enrollment ID: I20100827000326 |
| Provider Name | William Holding Page-echols |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477658565 PECOS PAC ID: 0244121812 Enrollment ID: I20100911000059 |
| Provider Name | Rafid Hikmet Yousif |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417042698 PECOS PAC ID: 8820180177 Enrollment ID: I20101029001285 |
| Provider Name | Charles H Bill |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1912950783 PECOS PAC ID: 1254308489 Enrollment ID: I20101115000041 |
| Provider Name | James M Howard |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841304961 PECOS PAC ID: 1052337441 Enrollment ID: I20110215000192 |
| Provider Name | Allison Leigh Wood |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1649438318 PECOS PAC ID: 0547311789 Enrollment ID: I20110429000314 |
| Provider Name | Lisa L Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275840282 PECOS PAC ID: 8224214705 Enrollment ID: I20110518000085 |
| Provider Name | Ryan G Topham |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1487867925 PECOS PAC ID: 9830223346 Enrollment ID: I20110822000043 |
| Provider Name | Gregory G Messenger |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1851340012 PECOS PAC ID: 4789666546 Enrollment ID: I20111026000720 |
| Provider Name | Yuelin Xu |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1669421848 PECOS PAC ID: 9436322500 Enrollment ID: I20111105000087 |
| Provider Name | Gary L Cesar |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053395970 PECOS PAC ID: 6305091182 Enrollment ID: I20130228000043 |
| Provider Name | Taylor D Thelen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548552516 PECOS PAC ID: 2365683307 Enrollment ID: I20130802000290 |
| Provider Name | Matthew William Packard |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1376772574 PECOS PAC ID: 6406085802 Enrollment ID: I20140701002261 |
| Provider Name | Ahmed S Sufyan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710148002 PECOS PAC ID: 7517109564 Enrollment ID: I20140725000400 |
| Provider Name | Megan Kyna Spicer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114335106 PECOS PAC ID: 5294957130 Enrollment ID: I20141110001960 |
| Provider Name | Saif Fatteh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093001299 PECOS PAC ID: 4385962026 Enrollment ID: I20150409001486 |
| Provider Name | Christopher T Hannasch |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1194085068 PECOS PAC ID: 9234442518 Enrollment ID: I20150715001260 |
| Provider Name | Limin Yu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1992828560 PECOS PAC ID: 2365611423 Enrollment ID: I20150723008145 |
| Provider Name | Karl William Dunn |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649551011 PECOS PAC ID: 8527371335 Enrollment ID: I20150925000209 |
| Provider Name | Amber Rae Sprague-rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235517574 PECOS PAC ID: 4981912656 Enrollment ID: I20150929002180 |
| Provider Name | Jeffrey A Messenger |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1427313709 PECOS PAC ID: 5991094286 Enrollment ID: I20160509002408 |
| Provider Name | Sara D Herman |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1689932261 PECOS PAC ID: 3072816388 Enrollment ID: I20160608001019 |
| Provider Name | Aimee M Seaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164977831 PECOS PAC ID: 1759677305 Enrollment ID: I20160907001922 |
| Provider Name | Elizabeth M Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114455474 PECOS PAC ID: 5092085878 Enrollment ID: I20170727000958 |
| Provider Name | Joseph W Zielinski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881113645 PECOS PAC ID: 7719253053 Enrollment ID: I20171101000116 |
| Provider Name | Danielle Rose Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821502600 PECOS PAC ID: 6204197825 Enrollment ID: I20180222001758 |
| Provider Name | Carissa Deanna Camp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063991347 PECOS PAC ID: 3779833447 Enrollment ID: I20180830002641 |
| Provider Name | Heather I Gaudard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225524903 PECOS PAC ID: 1153673215 Enrollment ID: I20181018000126 |
| Provider Name | Evan Goodman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588107569 PECOS PAC ID: 9739423583 Enrollment ID: I20190228001554 |
| Provider Name | Colton C Prudnick |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619380334 PECOS PAC ID: 5597090597 Enrollment ID: I20190712002237 |
| Provider Name | Kyle A Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831744457 PECOS PAC ID: 6901135821 Enrollment ID: I20190831000069 |
| Provider Name | Courtney Daman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356828115 PECOS PAC ID: 6305178351 Enrollment ID: I20191024002282 |
| Provider Name | Elizabeth S Wild |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1396189296 PECOS PAC ID: 8123324738 Enrollment ID: I20200604000297 |
| Provider Name | Gregory S Messenger |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1821441486 PECOS PAC ID: 7315233426 Enrollment ID: I20200728001085 |
| Provider Name | Hannah Joy Dejong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679117402 PECOS PAC ID: 9133547417 Enrollment ID: I20200918000422 |
| Provider Name | Dawn M Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831780741 PECOS PAC ID: 5294136909 Enrollment ID: I20210701000274 |
| Provider Name | Alexandra F Theis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497346241 PECOS PAC ID: 0547650673 Enrollment ID: I20211206000267 |
| Provider Name | Zachary T Goldstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457911877 PECOS PAC ID: 5991197675 Enrollment ID: I20220111000257 |
| Provider Name | Samantha D Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659914182 PECOS PAC ID: 5890189625 Enrollment ID: I20220222000280 |
| Provider Name | Lauren A Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134889405 PECOS PAC ID: 7214322650 Enrollment ID: I20220321002449 |
| Provider Name | Amber Leigh Ledbetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255038709 PECOS PAC ID: 2961875497 Enrollment ID: I20230303002127 |
| Provider Name | Jacob Monestersky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740804632 PECOS PAC ID: 4880017821 Enrollment ID: I20230615000725 |
| Provider Name | Tobias Bepler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366914053 PECOS PAC ID: 3577921345 Enrollment ID: I20230627000760 |
| Provider Name | Joshua D Corteville |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093203457 PECOS PAC ID: 8224393335 Enrollment ID: I20230706000159 |
| Provider Name | Margeaux Jenee Dennis |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356831630 PECOS PAC ID: 8123487220 Enrollment ID: I20230707001788 |
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