Romulo S. Ancog MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ROMULO S. ANCOG MD PC

Practice address

15700 W 10 Mile Rd
Suite 107
Southfield, MI 48075-2149

Phone

(248) 646-5288

NPI assigned

Feb 16, 2007

Organization subpart

No

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

Authorized official

Name

Romulo S Ancog, MD

Title

Owner

Phone

(248) 646-5288

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174667935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7383 LAHSER RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483014049",
            "telephone_number": "248-646-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15700 W 10 MILE RD",
            "address_2": "SUITE 107",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752149",
            "telephone_number": "248-646-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMULO S. ANCOG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANCOG",
        "authorized_official_first_name": "ROMULO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-646-5288",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Southfield, MI
• Providers in Southfield, MI by specialty
• Psychiatry 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.