Organization Active NPI

Robert R Roman MD PC

  • Pediatrics Physician
  • West Bloomfield, MI
National Provider Identifier
1417037714
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ROBERT R ROMAN MD PC
Practice address
33200 W 14 Mile Rd
Ste 130
West Bloomfield, MI 48322-3549
Phone
(248) 855-4144
Fax
(248) 855-9158
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Authorized official

Name
Dr. Robert R Roman, MDNPI 1144205402
Title
Doctor
Phone
(248) 855-4144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

33200 W 14 Mile Rd
Ste 130
West Bloomfield, MI 48322-3549

Mailing address

33200 W 14 Mile Rd
Ste 130
West Bloomfield, MI 48322-3549
Phone (248) 855-4144

Other identifiers 1

IdentifierTypeStateIssuer
G03821OtherMIBLUE CARE NETWORK

National Provider Directory

National Provider Directory

Locations

33200 W 14 Mile Rd
Ste 130
West Bloomfield, MI 48322
Phone (248) 855-4144

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1417037714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33200 W 14 MILE RD",
            "address_2": "STE 130",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223549",
            "telephone_number": "248-855-4144",
            "fax_number": "248-855-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33200 W 14 MILE RD",
            "address_2": "STE 130",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223549",
            "telephone_number": "248-855-4144",
            "fax_number": "248-855-9158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT R ROMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "248-855-4144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "G03821",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.