Robert McGowan, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

5101026125 Issued in MI

Practice address

26657 Woodward Ave Ste 200
Huntington Woods, MI 48070-1304

Phone

(248) 398-8400

NPI assigned

Apr 4, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Royal Oak Pediatrics PC

  • Pediatrics Physician
  • Huntington Woods, MI
  • NPI 1629094172
  NPD (past)

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1073019238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26657 WOODWARD AVE STE 200",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701304",
            "telephone_number": "586-206-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26657 WOODWARD AVE STE 200",
            "city": "HUNTINGTON WOODS",
            "state": "MI",
            "postal_code": "480701304",
            "telephone_number": "248-398-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOWAN",
        "first_name": "ROBERT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-04",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5101026125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LS Kohn Therapy PLLC
• Julie Lublin, LPC
• Emily Diane Macinnis-Weir, LMT
• Nancy M Mannisto, MD
• Brenda McDowell, M.S. CCC-A
• Crystal McKinney, LLMSW
• Miriam Lucas Medow, M.D.
• Julie Melissa Messina, LLMSW
• Michael D Ryan DDS PC
• Sue Marie Michonski, PT

• Pediatrics Physician in Huntington Woods, MI
• Providers in Huntington Woods, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.