Individual provider Active NPI

Robert E Rees, D.O.

  • Family Medicine Physician
  • Bad Axe, MI
National Provider Identifier
1104033497
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101016763 Issued in MI
Practice address
222 Park Ave
Bad Axe, MI 48413-1706
Phone
(989) 269-6042
Fax
(989) 269-6052
NPI assigned
May 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101016763 MI Primary

Addresses

Primary practice location

222 Park Ave
Bad Axe, MI 48413-1706

Mailing address

222 Park Ave
Bad Axe, MI 48413-1706
Phone (989) 269-6042

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20091203000132 MI Practitioner - Family Practice 6507905601 Practice locations: Bad Axe, MI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Wellness Chiropractic, PLLC CurrentSince Oct 13, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

222 Park Ave
Bad Axe, MI 48413
Phone (989) 492-0134

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1104033497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 PARK AVE",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484131706",
            "telephone_number": "989-269-6042",
            "fax_number": "989-269-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 PARK AVE",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484131706",
            "telephone_number": "989-269-6042",
            "fax_number": "989-269-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REES",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101016763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bad Axe, MI

Sources for this page

Verify at the official NPI Registry.