Robert a Teitge MD PC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

4301042363 Issued in MI

Legal business name

ROBERT A TEITGE MD PC

Practice address

3272 E 12 Mile Rd
Suite 108
Warren, MI 48092-5622

Phone

(586) 573-3100

Fax

(586) 573-7924

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Robert A Teitge, MD

Title

President

Phone

(586) 573-3100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083765028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3272 E 12 MILE RD",
            "address_2": "SUITE 108",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925622",
            "telephone_number": "586-573-3100",
            "fax_number": "586-573-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3272 E 12 MILE RD",
            "address_2": "SUITE 108",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480925622",
            "telephone_number": "586-573-3100",
            "fax_number": "586-573-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A TEITGE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEITGE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-573-3100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "MI",
            "license": "4301042363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rosemary Z Robak, RN
• Robert K Moore MD PC
• Anna Roberts, TLLP
• Ciera Lynn Roberts
• Michaela Jane Roberts, DO
• Charles E Robertson, CRNA

• Sports Medicine (Orthopaedic Surgery) Physician in Warren, MI
• Providers in Warren, MI by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.