Individual provider Active NPI

Rolbert Saint Laurent Fischre' III, M.D.

  • Psychiatry Physician
  • Caro, MI
National Provider Identifier
1245322791
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301404579 Issued in MI
Practice address
2000 Chambers Rd
Caro, MI 48723-9293
Phone
(989) 673-3191
NPI assigned
Sep 29, 2006
Last updated
Sep 22, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301404579 MI Primary

Addresses

Primary practice location

2000 Chambers Rd
Caro, MI 48723-9293

Mailing address

1140 Whitepond Rd
East Lansing, MI 48823-2736
Phone (517) 410-8011

Other identifiers 3

IdentifierTypeStateIssuer
0G96036OtherMIMEDICARE PART B
234025OtherMIMEDICARE PART A
1758845MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301404579MIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Michigan Office of Financial Management Past Accepting new patients
Henry Ford Health Eastwood Behavioral Health Past Accepting new patients
Hegira Health, Inc. Past Accepting new patients
State of Michigan Office of Financial Management Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253577600000",
    "number": "1245322791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 WHITEPOND RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232736",
            "telephone_number": "517-410-8011",
            "fax_number": "517-337-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CHAMBERS RD",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487239293",
            "telephone_number": "989-673-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHRE'",
        "first_name": "ROLBERT",
        "middle_name": "SAINT LAURENT",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2009-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301404579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "0G96036",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A",
            "identifier": "234025",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1758845",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caro, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.