Unknown Individual – Urology Physician, NPI 1174516173

Unknown Individual is a healthcare provider. based in Saginaw, Michigan. specializing in Urology Physician. The NPI Number for Unknown Individual is 1174516173

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1174516173
Phone
(989) 791-5142
Address
5400 MACKINAW RD
Deactivation Date
30 March 2021

Contacts

Secure Messaging
helen@tricityuro.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness85
Years active:0State licenses:0Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • 5400, Mackinaw Road, Kochville Township, Saginaw County, Michigan, 48604, United States

    SUITE 4302

    SAGINAW, MI 486049515

    Phone: (989) 791-5142

    Fax: (989) 921-8765

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48604)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1174516173.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Urology Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Saginaw, Michigan in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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