Organization Active NPI

Romeo H. Tabbilos, M.D.P.C.

  • Obstetrics & Gynecology Physician
  • Detroit, MI
National Provider Identifier
1487851994
Registry record updated Aug 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301031236 Issued in MI
Legal business name
ROMEO H. TABBILOS, M.D.P.C.
Practice address
3011 W Grand Blvd
Suite 428
Detroit, MI 48202-3096
Phone
(313) 872-2740
Fax
(313) 872-1875
NPI assigned
Jun 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2007

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

Authorized official

Name
Dr. Romeo H Tabbilos, M.D.
Title
Physician
Phone
(313) 872-2740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 4301031236 MI Primary

Addresses

Primary practice location

3011 W Grand Blvd
Suite 428
Detroit, MI 48202-3096

Mailing address

3011 W Grand Blvd
Suite 428
Detroit, MI 48202-3096
Phone (313) 872-2740

National Provider Directory

National Provider Directory

Locations

3011 W Grand Blvd
Ste 428
Detroit, MI 48202
Phone (313) 872-2740

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1487851994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 W GRAND BLVD",
            "address_2": "SUITE 428",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023096",
            "telephone_number": "313-872-2740",
            "fax_number": "313-872-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 W GRAND BLVD",
            "address_2": "SUITE 428",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023096",
            "telephone_number": "313-872-2740",
            "fax_number": "313-872-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMEO H. TABBILOS, M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "TABBILOS",
        "authorized_official_first_name": "ROMEO",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "313-872-2740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301031236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.