Roberts Dermatology Center, P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

5101010293 Issued in MI

Legal business name

ROBERTS DERMATOLOGY CENTER, P.C.

Practice address

3273 Davison Rd Ste 5
Lapeer, MI 48446-4306

Phone

(810) 245-7766

Fax

(810) 245-6216

NPI assigned

May 8, 2007

Last updated

Mar 6, 2008By 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

Dr. Frederick William Roberts, D.O.NPI 1871591164

Title

President

Phone

(810) 245-7766

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Frederick William Roberts, D.O.

  • Dermatology Physician
  • Lapeer, MI
  • NPI 1871591164
  Authorized official Same address or phone

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1316150113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3273 DAVISON RD STE 5",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484464306",
            "telephone_number": "810-245-7766",
            "fax_number": "810-245-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3273 DAVISON RD STE 5",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484464306",
            "telephone_number": "810-245-7766",
            "fax_number": "810-245-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTS DERMATOLOGY CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-245-7766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5101010293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4115633",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ritsen
• Michael Nelson Rivington, CRNA
• Forrest D Robart, D.O.
• Diane Robb-Bianchi, DDS
• Robert M Stenz DO PC
• Frederick William Roberts, D.O.
• Christine M Robertson, LBSW
• Taylor Robertson
• Cara Robinson
• Christina Robinson

• Dermatology Physician in Lapeer, MI
• Providers in Lapeer, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.