Robert J Seledotis DO PC Inc

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

ROBERT J SELEDOTIS DO PC INC

Practice address

847 Parchment Dr SE Ste 125
Grand Rapids, MI 49546-8623

Phone

(616) 454-9246

Fax

(616) 454-6839

NPI assigned

Aug 2, 2006

Last updated

Apr 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert John Seledotis, D.O.

Title

Owner/President

Phone

(616) 454-9246

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Moises Steven Googe, DO

  • Neurological Surgery Physician
  • Grand Rapids, MI
  • NPI 1497089833
  NPD (past)
• Vicente Caldeira Gracias, M.D.

  • Neurological Surgery Physician
  • Grand Rapids, MI
  • NPI 1346215969
  NPD (past)
• Desiderio Franda Ines, M.D.

  • Neurology Physician
  • Grand Rapids, MI
  • NPI 1598730111
  NPD (past)
• Evelyn Panagsagan Navarro, M.D.

  • Neurology Physician
  • Grand Rapids, MI
  • NPI 1467427088
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1184631277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3140",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495013140",
            "telephone_number": "616-454-9246",
            "fax_number": "616-454-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 PARCHMENT DR SE STE 125",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468623",
            "telephone_number": "616-454-9246",
            "fax_number": "616-454-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J SELEDOTIS DO PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "SELEDOTIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "616-454-9246",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Roach, CNP
• Sonja Andrea Robart
• Hannah Robb, PT, DPT
• Jacob John Robbins
• Robert a. Strobel, DDS, PC
• Robert P Roberts Jr MD PC
• Robert W Van Noord PC
• Geoffrey Hunt Robert, DDS
• Amber Nichole Roberti, LMSW
• Ashlee Roberts, PHARM. D.

• Neurological Surgery Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Neurological Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.