Organization Active NPI

Robert a. Yagoobian, D.P.M., P.C.

  • Podiatrist
  • Taylor, MI
National Provider Identifier
1356543219
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
ROBERT A. YAGOOBIAN, D.P.M., P.C.
Practice address
23234 Ecorse Rd
Taylor, MI 48180-1769
Phone
(313) 292-8400
Fax
(313) 292-8430
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Lisa Marecle
Title
Office Manager
Phone
(313) 292-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

23234 Ecorse Rd
Taylor, MI 48180-1769

Mailing address

23234 Ecorse Rd
Taylor, MI 48180-1769
Phone (313) 292-8400

National Provider Directory

National Provider Directory

Locations

9224 Pelham Rd
Taylor, MI 48180
Phone (313) 292-8400

9029 Pardee Rd
Taylor, MI 48180
Phone (313) 292-8400

23234 Ecorse Rd
Taylor, MI 48180
Phone (313) 292-8400

Practitioners & affiliated clinicians

Practitioners 2

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": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1356543219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23234 ECORSE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801769",
            "telephone_number": "313-292-8400",
            "fax_number": "313-292-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23234 ECORSE RD",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481801769",
            "telephone_number": "313-292-8400",
            "fax_number": "313-292-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A. YAGOOBIAN, D.P.M., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "MARECLE",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-292-8400"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.