Robert I Boorstein, DO

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

RB007073 Issued in MI

Practice address

28237 Orchard Lake Rd
Ste 103
Farmington Hills, MI 48334-3740

Phone

(248) 752-0230

Fax

(248) 855-1700

NPI assigned

Sep 29, 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 2

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shannon M Harbin PHD LLC

  dba Mindful Development, PLLC

  • Adult Mental Health Clinic/Center
  • Farmington Hills, MI
  • NPI 1013699206
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460678400000",
    "number": "1518059997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7082 HAWK WOODS DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224581",
            "telephone_number": "248-752-0230",
            "fax_number": "248-855-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28237 ORCHARD LAKE RD",
            "address_2": "STE 103",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343740",
            "telephone_number": "248-752-0230",
            "fax_number": "248-855-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOORSTEIN",
        "first_name": "ROBERT",
        "middle_name": "I",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2016-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "RB007073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MI",
            "identifier": "020F31144",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176773701",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcus Boone
• Nathan A Boone
• Teia Boone
• Tiara Boone
• Lydia Boorsma
• Ethan Boose, CT
• Daija Booth, RBT
• Hailey Booth
• Heaven Booth
• Katherine Booth

• Surgery Physician in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.