Keith M Tobin DO PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101010694 Issued in MI

Legal business name

KEITH M TOBIN DO PC

Practice address

28701 Plymouth Rd
Livonia, MI 48150-2335

Phone

(734) 427-9900

Fax

(734) 427-8963

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Hollie Howell

Title

Medical Biller

Phone

(734) 427-9900

Specialties & licenses 1

Addresses

Other names 1

• Livonia Family Medical Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael G. Burry, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Livonia, MI
  • NPI 1447256821
  Medicare reassignment Care Compare group NPD
• Keith M Tobin, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Livonia, MI
  • NPI 1083611560
  Medicare reassignment Care Compare group NPD
• Heidi Hood, DNP, ANP-BC

  • Adult Health Nurse Practitioner
  • Grand Haven, MI
  • NPI 1396856118
  Medicare reassignment NPD

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316084395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28701 PLYMOUTH RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502335",
            "telephone_number": "734-427-9900",
            "fax_number": "734-427-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28701 PLYMOUTH RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481502335",
            "telephone_number": "734-427-9900",
            "fax_number": "734-427-8963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH M TOBIN DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "HOLLIE",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "734-427-9900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101010694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Livonia Family Medical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maher K Kefri, MD
• Katelynn Kehoe, BEHAVIOR TECHNICIAN
• Lynn Carol Keidan, LMSW
• Sharon Keiffer
• Jason Wayne Keilman, ACA, NBC-HIS
• Karen Lynn Keith, M.D.
• Kathryn Keith, LLMSW
• Frank Kelemen, ACSW PHD
• Gracyn Kellay
• Robin Keller, LLP, LPC

• Family Medicine Physician in Livonia, MI
• Providers in Livonia, MI by specialty
• Family Medicine 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.