Phillip Lorane Robinson, MD
Individual provider Active NPI Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Grand Blanc, MI
NPI 1366424392 · NPPES record last updated Jul 31, 2024
Key facts
- NPI
- 1366424392
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
- License
- 4301053205 (MI)
- Practice address
- 1 Genesys Pkwy Ste 3452
Grand Blanc, MI 48439-8065 - Phone
- (248) 849-2600
- Fax
- (248) 849-2610
- NPI assigned
- Nov 16, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Thoracic Surgery
- Education
- Wayne State University School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Genesys Practice Partners Inc
Henry Ford Health Providence Hospital
Practice addresses (Care Compare)
1 Genesys Pkwy
Suite 3452
Grand Blanc, MI 48439-8065
Phone (810) 606-7550
1400 Genesys Pkwy
B136
Grand Blanc, MI 48439-8068
Phone (810) 606-7629
16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 424-3000
16001 W 9 Mile Rd 3Rd FL
Providence Hospital Gastrology
Southfield, MI 48075-4818
Phone (248) 849-6033
16001 W 9 Mile Rd 3Rd Floor
Providence Hospital Gastrology
Southfield, MI 48075-4818
Phone (248) 849-6033
Hospital & facility affiliations
- Ascension Genesys Hospital
- Henry Ford Health St John Hospital
- Ascension Providence Hospital, Southfield and Novi
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040714001269 | MI | Practitioner - Thoracic Surgery |
1658359906 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301053205 | MI | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Providence Hospital | Current |
Accepting new patients | |
| Ascension Medical Group Promed | Surgery | Current | Accepting new patients |
| Mymichigan Medical Center Saginaw | Current | Accepting new patients | |
| Genesys Practice Partners, Inc | Current |
Accepting new patients | |
| Henry Ford Health Macomb-Oakland Hospital | Current |
Accepting new patients | |
| Mymichigan Medical Center Saginaw | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current |
Accepting new patients |
| Ascension Medical Group Promed | Current |
Accepting new patients | |
| Genesys Practice Partners Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current |
Accepting new patients |
| Genesys Practice Partners Inc | Current | Accepting new patients | |
| Promed Healthcare | Current |
Accepting new patients | |
| Henry Ford Health Providence Hospital | Surgery | Current |
Accepting new patients |
| Mymichigan Medical Center Saginaw | Current |
Accepting new patients | |
| Mymichigan Medical Center Saginaw | Current | Accepting new patients | |
| Henry Ford Health Macomb-Oakland Hospital | Surgery | Current |
Accepting new patients |
| Mymichigan Medical Center Saginaw | Past | Accepting new patients | |
| Genesys Practice Partners Inc | Past | Accepting new patients |
Locations
1117 S Van Dyke Rd
Ste 300
Bad Axe, MI 48413
3035 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 565-9100
1460 N Center Rd
Burton, MI 48509
Phone (810) 424-2011
3399 Pollock Rd
Ste A
Grand Blanc, MI 48439
Phone (810) 606-7550
1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733
1400 Genesys Pkwy
#B136
Grand Blanc, MI 48439
Phone (810) 606-7629
1 Genesys Pkwy
Ste 3452
Grand Blanc, MI 48439
Phone (248) 849-2600
3399 Pollock Rd
Grand Blanc, MI 48439
Phone (810) 603-0170
1 Genesys Pkwy
Ste 4620
Grand Blanc, MI 48439
Phone (810) 606-1460
1722 Shaffer St
Kalamazoo, MI 49048
Phone (269) 226-5600
1815 Henson Ave
Kalamazoo, MI 49048
Phone (269) 492-6502
27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326
215 E Mansion St
Marshall, MI 49068
Phone (269) 789-3940
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
26850 Providence Pkwy
Ste 470
Novi, MI 48374
Phone (248) 319-3000
7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405
1135 W University Dr
Ste 230
Rochester Hls, MI 48307
Phone (248) 824-2630
1015 S Washington Ave
Saginaw, MI 48601
Phone (989) 754-3289
1015 S Washington Ave
Fl 1
Saginaw, MI 48601
Phone 98975430004332
3570 Shattuck Rd
Saginaw, MI 48603
Phone (989) 792-5353
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
11900 E 12 Mile Rd
Ste 308
Warren, MI 48093
Phone (586) 574-5080
Interoperability endpoints
- probinson1149349@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 4301053205 | MI | Yes |
Addresses
Primary practice location
1 Genesys Pkwy Ste 3452
Grand Blanc, MI 48439-8065
Mailing address
1 Genesys Pkwy Ste 3452
Grand Blanc, MI 48439-8065
Phone (248) 849-2600
Other practice location 1
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-0123
Other practice location 2
1663 W Big Beaver Rd
Troy, MI 48084-3501
Phone (248) 643-8633
Other practice location 3
18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (313) 593-7000
Other practice location 4
44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-8193
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4631993 | Medicaid | MI |
NPI Registry JSON
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1366424392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GENESYS PKWY STE 3452",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484398065",
"telephone_number": "248-849-2600",
"fax_number": "248-849-2610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GENESYS PKWY STE 3452",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484398065",
"telephone_number": "248-849-2600",
"fax_number": "248-849-2610"
}
],
"practiceLocations": [
{
"address_1": "3601 W 13 Mile Rd",
"address_purpose": "LOCATION",
"city": "Royal Oak",
"state": "MI",
"postal_code": "480736712",
"country_code": "US",
"telephone_number": "248-898-0123",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1663 W Big Beaver Rd",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "MI",
"postal_code": "480843501",
"country_code": "US",
"telephone_number": "248-643-8633",
"fax_number": "248-643-8680",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18101 Oakwood Blvd",
"address_purpose": "LOCATION",
"city": "Dearborn",
"state": "MI",
"postal_code": "481244089",
"country_code": "US",
"telephone_number": "313-593-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "44201 Dequindre Rd",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "MI",
"postal_code": "480851117",
"country_code": "US",
"telephone_number": "248-964-8193",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBINSON",
"first_name": "PHILLIP",
"middle_name": "LORANE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MI",
"license": "4301053205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4631993",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Blanc, MI
- Jai'Air Roberts
- Ryan J Roberts
- Tracy Rae Roberts
- Shelby Marie Robertson
- Meggan Robinson
- Jeff Robson
- Hayden William Rock
- Alexander Jose Rodriguez
- Chelsea Rodriguez
- James D Rogers
All providers in Grand Blanc, MI · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.