Organization Active NPI

Center for Occupational & Environmental Medicine P C

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Royal Oak, MI
National Provider Identifier
1093861452
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
4301048645 Issued in MI
Legal business name
CENTER FOR OCCUPATIONAL & ENVIRONMENTAL MEDICINE P C
Practice address
118 N Washington Ave
Royal Oak, MI 48067-1751
Phone
(248) 547-9100
Fax
(248) 547-9336
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Dr. Michael R Harbut, M.D.
Title
Owner
Phone
(248) 547-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083P0500X 4301048645 MI Primary

Addresses

Primary practice location

118 N Washington Ave
Royal Oak, MI 48067-1751

Mailing address

PO Box 112
Jenison, MI 49429-0112
Phone (616) 457-4919

Other identifiers 2

IdentifierTypeStateIssuer
0F36448OtherMIBCBSM GRP PIN
0632359OtherMIBCBS IND PIN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1093861452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494290112",
            "telephone_number": "616-457-4919",
            "fax_number": "616-457-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N WASHINGTON AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671751",
            "telephone_number": "248-547-9100",
            "fax_number": "248-547-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR OCCUPATIONAL & ENVIRONMENTAL MEDICINE P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "HARBUT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-547-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MI",
            "license": "4301048645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GRP PIN",
            "identifier": "0F36448",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IND PIN",
            "identifier": "0632359",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.