Organization Active NPI

Malgorzata Sobilo M D P C

  • Hematology & Oncology Physician
  • Lake Orion, MI
National Provider Identifier
1346474426
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
MALGORZATA SOBILO M D P C
Practice address
785 N Lapeer Rd
Lake Orion, MI 48362-4012
Phone
(248) 693-6238
Fax
(248) 693-7649
NPI assigned
May 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Authorized official

Name
Dr. Malgorzata Sobilo, M.D.
Title
Owner
Phone
(248) 693-6238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

785 N Lapeer Rd
Lake Orion, MI 48362-4012

Mailing address

720 N Lapeer Rd
Suite 102
Lake Orion, MI 48362-4011
Phone (248) 693-6238

Other identifiers 1

IdentifierTypeStateIssuer
10-5181722MedicaidMI

National Provider Directory

National Provider Directory

Locations

720 N Lapeer Rd
Ste 102
Lake Orion, MI 48362
Phone (248) 693-6238

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1346474426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 N LAPEER RD",
            "address_2": "SUITE 102",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483624011",
            "telephone_number": "248-693-6238",
            "fax_number": "248-693-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 N LAPEER RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483624012",
            "telephone_number": "248-693-6238",
            "fax_number": "248-693-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALGORZATA SOBILO M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "SOBILO",
        "authorized_official_first_name": "MALGORZATA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-693-6238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10-5181722",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Orion, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.