Robert Bruce Schwallie, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

35510 Issued in AZ

Practice address

1140 Monroe Ave NW
Suite 150
Grand Rapids, MI 49503-1055

Phone

(616) 459-1560

Fax

(616) 459-1560

NPI assigned

Feb 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Other names 1

• Robert B. Schwallie Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Adena Fayette Medical Center

  • Critical Access Hospital
  • Washington Court House, OH
  • NPI 1508978677
  NPD (past)
• Deaconess Healthcare Services Co

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1194703173
  NPD (past)
• Emergency Health Partners-Verde Valley PLC

  • Emergency Medicine Physician
  • Cottonwood, AZ
  • NPI 1023253432
  NPD (past)
• Fayette County Memorial Hospital

  • Family Medicine Physician
  • Washington Court House, OH
  • NPI 1043380579
  NPD (past)
• Vanguard Medical

  • Emergency Medicine Physician
  • Cincinnati, OH
  • NPI 1457463051
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1063488435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632745",
            "address_2": "CINCINNATI",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452632745",
            "telephone_number": "513-559-2898",
            "fax_number": "513-475-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 MONROE AVE NW",
            "address_2": "SUITE 150",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031055",
            "telephone_number": "616-459-1560",
            "fax_number": "616-459-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWALLIE",
        "first_name": "ROBERT",
        "middle_name": "BRUCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35045428",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "35510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00126487",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00172166",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0515811",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000317075",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000319946",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "863392",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "SCHWALLIE",
            "middle_name": "B.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Leah Schutt, CCC-SLP
• Jacquelyn Schutten, MSN, FNP-C, RN, BSN
• Ella Jean Schutter
• Allison Lynn Schuurman
• Thomas G Schwaderer, MD
• Joyce Schwallier, M.S.W.
• Nancy P Schwallier, PA-C
• Lissa Marie Schwander, LMSW
• Jenna Kristine Schwartz, PHD, MA, LP, NCSP
• Miranda Schwartz

• Emergency Medicine Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.