Robert Daniel Travis, M.D., PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

RT064261 Issued in MI

Legal business name

ROBERT DANIEL TRAVIS, M.D., PC

Practice address

44633 Joy Rd Ste 200
Canton, MI 48187-1732

Phone

(734) 451-9692

Fax

(734) 451-9606

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Daniel Travis, MDNPI 1629036389

Title

Owner

Phone

(734) 451-9692

Specialties & licenses 1

Addresses

Other names 1

• ADVANCED ORTHOPAEDIC SURGEONS OF MICHIGAN Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Daniel Travis, MD

  • Orthopaedic Surgery Physician
  • Canton, MI
  • NPI 1629036389
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1013958073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44633 JOY RD STE 200",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871732",
            "telephone_number": "734-451-9692",
            "fax_number": "734-451-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44633 JOY RD STE 200",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481871732",
            "telephone_number": "734-451-9692",
            "fax_number": "734-451-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT DANIEL TRAVIS, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-451-9692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "RT064261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED ORTHOPAEDIC SURGEONS OF MICHIGAN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ADVANCED ORTHOPAEDIC SURGEONS OF MICHIGAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rite Aid of Michigan Inc
• Rite Choice Home Health Care, LLC
• Abraham Rizqalla
• Bryan Christopher Roach
• Margaret Elizabeth Roach
• Robert Edward Potter Jr DC PLLC
• Robert I. Lubin, D.P.M., P. L.L.C
• Robert I. Lubin, D.P.M., P. L.L.C
• Kelly Sarah Roberts, NP
• Emily Ann Robertson, PA

• Specialist in Canton, MI
• Providers in Canton, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.