Active NPI
Robert Douglas Thill, MD
- Pediatrics Physician
- Saginaw, MI
National Provider Identifier
1073513420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- RT070198
- Practice address
- 3875 Bay Rd
Suite 1S
Saginaw, MI 48603-2417 - Phone
- (989) 793-9983
- Fax
- (989) 793-9951
- NPI assigned
- Jul 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | RT070198 | MI | Primary |
Addresses
Primary practice location
3875 Bay Rd
Suite 1S
Saginaw, MI 48603-2417
Mailing address
3875 Bay Rd
Suite 1S
Saginaw, MI 48603-2417
Phone (989) 793-9983
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RT070198 | Other | MA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT070198 | MI | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296000000000",
"number": "1073513420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3875 BAY RD",
"address_2": "SUITE 1S",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486032417",
"telephone_number": "989-793-9983",
"fax_number": "989-793-9951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3875 BAY RD",
"address_2": "SUITE 1S",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486032417",
"telephone_number": "989-793-9983",
"fax_number": "989-793-9951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THILL",
"first_name": "ROBERT",
"middle_name": "DOUGLAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2011-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "RT070198",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "RT070198",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.