NPIMap

Organization Active NPI

R Stewart Robertson MD PLLC

  • Internal Medicine Physician
  • Troy, MI
National Provider Identifier
1144402769
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
034679 Issued in MI
Legal business name
R STEWART ROBERTSON MD PLLC
Practice address
755 W Big Beaver Rd
Suite 231B
Troy, MI 48084-4900
Phone
(248) 404-9545
Fax
(248) 362-6157
NPI assigned
Dec 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Dr. Robert Stewart Robertson, M.D.NPI 1154373934
Title
Owner/President
Phone
(248) 404-9545

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 034679 MI Primary

Addresses

Primary practice location

755 W Big Beaver Rd
Suite 231B
Troy, MI 48084-4900

Mailing address

755 W Big Beaver Rd
Suite 231B
Troy, MI 48084-4900
Phone (248) 404-9545

Other identifiers 2

IdentifierTypeStateIssuer
4523539MedicaidMI
P00061983OtherMIMEDICARE RAILROAD

National Provider Directory

National Provider Directory

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": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1144402769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 W BIG BEAVER RD",
            "address_2": "SUITE 231B",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844900",
            "telephone_number": "248-404-9545",
            "fax_number": "248-362-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 W BIG BEAVER RD",
            "address_2": "SUITE 231B",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844900",
            "telephone_number": "248-404-9545",
            "fax_number": "248-362-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R STEWART ROBERTSON MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "248-404-9545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "034679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4523539",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00061983",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

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