Michael E Rollins MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

MR026378 Issued in MI

Legal business name

MICHAEL E ROLLINS MD

Practice address

17770 Mack Ave
Grosse Pointe, MI 48230-6248

Phone

(313) 882-1731

Fax

(313) 881-1234

NPI assigned

Sep 2, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael E Rollins, MD

Title

Owner

Phone

(313) 882-1731

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467446633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17770 MACK AVE",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482306248",
            "telephone_number": "313-882-1731",
            "fax_number": "313-881-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17770 MACK AVE",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482306248",
            "telephone_number": "313-882-1731",
            "fax_number": "313-881-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E ROLLINS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-882-1731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "MR026378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0408260841",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2098524",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mmi Medical Supplies and Equipment LLC
• Zahra Moattari, M.D.

• Otolaryngology Physician in Grosse Pointe, MI
• Providers in Grosse Pointe, MI by specialty
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.