Organization Active NPI

Cornelius Robens, MD, PLLC

  • Specialist
  • Traverse City, MI
National Provider Identifier
1407960057
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301081829 Issued in MI
Legal business name
CORNELIUS ROBENS, MD, PLLC
Practice address
3537 W Front St Ste a
Traverse City, MI 49684-7942
Phone
(231) 935-9700
Fax
(231) 935-9706
NPI assigned
Aug 19, 2006
Last updated
Jan 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Authorized official

Name
Cornelius Robens, MD
Title
Owner
Phone
(231) 935-0386

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301081829 MI Primary

Addresses

Primary practice location

3537 W Front St Ste a
Traverse City, MI 49684-7942

Mailing address

3537 W Front St Ste a
Traverse City, MI 49684-7942
Phone (231) 935-9700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1407960057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 W FRONT ST STE A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847942",
            "telephone_number": "231-935-9700",
            "fax_number": "231-935-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 W FRONT ST STE A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847942",
            "telephone_number": "231-935-9700",
            "fax_number": "231-935-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELIUS ROBENS, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "ROBENS",
        "authorized_official_first_name": "CORNELIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-935-0386",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301081829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.