Robert Charles Dellangelo

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

044231 Issued in MI

Practice address

1414 W Fair Ave
Suite 347
Marquette, MI 49855-2675

Phone

(906) 225-4512

Fax

(906) 225-4514

NPI assigned

Jan 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mark W Ulrickson DO PLC

  • Ophthalmology Physician
  • Marquette, MI
  • NPI 1548441405
  NPD (past)
• Robert Charles Dellangelo

  • Ophthalmology Physician
  • Marquette, MI
  • NPI 1386897395
  NPD (past)

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1477532927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE",
            "address_2": "SUITE 347",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552675",
            "telephone_number": "906-225-4512",
            "fax_number": "906-225-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE",
            "address_2": "SUITE 347",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552675",
            "telephone_number": "906-225-4512",
            "fax_number": "906-225-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLANGELO",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "044231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1552205",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Marie Dechambeau, MS, AT, ATC
• Alyssa Marie Decremer
• Susan Marie Degroot, MSW
• Christopher Allen Dehlin, MD
• Jennifer Mroz Dehlin, MD
• Sheryl Lynn Dellangelo, R.N.
• Lindsay Delong, MD
• Kerri Kathleen Delongchamp, LPN
• Sophie Kathleen Delongchamp
• Janet Elaine Delvalle, PMHNP-BC

• Ophthalmology Physician in Marquette, MI
• Providers in Marquette, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.