Organization Active NPI

Robert M Dotterrer MD

  • Surgery Physician
  • Traverse City, MI
National Provider Identifier
1083667059
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ROBERT M DOTTERRER MD
Practice address
1221 6TH St
Suite#200
Traverse City, MI 49684-2359
Phone
(231) 935-2191
Fax
(231) 935-2195
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Robert M Dotterrer, MDNPI 1962403717
Title
Physicians
Phone
(231) 935-2191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1221 6TH St
Suite#200
Traverse City, MI 49684-2359

Mailing address

1221 6TH St
Suite#200
Traverse City, MI 49684-2359
Phone (231) 935-2191

Other identifiers 8

IdentifierTypeStateIssuer
0202810041OtherMIBCBS OF MI
1083667059OtherMIROBERT M DOTTERRER MD
1962403717OtherMIROBERT M DOTTERRER MD
0202810041OtherMIBLUE CARE NETWORK
1427054360OtherMIPAUL OLIVER MEMORIAL
1316991755OtherMIROBERT M DOTTERRER
1417931858OtherMIMAPLES NURSING HOME
1952307852OtherMIMUNSON MEDICAL CENTER

National Provider Directory

National Provider Directory

Locations

1221 Sixth St
Ste 200
Traverse City, MI 49684
Phone (231) 935-2191

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1083667059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 6TH ST",
            "address_2": "SUITE#200",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842359",
            "telephone_number": "231-935-2191",
            "fax_number": "231-935-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 6TH ST",
            "address_2": "SUITE#200",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842359",
            "telephone_number": "231-935-2191",
            "fax_number": "231-935-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M DOTTERRER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "DOTTERRER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIANS",
        "authorized_official_telephone_number": "231-935-2191",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "0202810041",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROBERT M DOTTERRER MD",
            "identifier": "1083667059",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROBERT M DOTTERRER MD",
            "identifier": "1962403717",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "0202810041",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAUL OLIVER MEMORIAL",
            "identifier": "1427054360",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROBERT M DOTTERRER",
            "identifier": "1316991755",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAPLES NURSING HOME",
            "identifier": "1417931858",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MUNSON MEDICAL CENTER",
            "identifier": "1952307852",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.