Organization Active NPI

Robert L Hamilton DO PC

  • Family Medicine Physician
  • Grand Blanc, MI
National Provider Identifier
1568637643
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101008048 Issued in MI
Legal business name
ROBERT L HAMILTON DO PC
Practice address
6011 Porter Rd
Grand Blanc, MI 48439-8538
Phone
(810) 695-1122
Fax
(810) 695-5711
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Robert Leroy Hamilton, D.O.
Title
Physician
Phone
(810) 695-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 5101008048 MI Primary

Addresses

Primary practice location

6011 Porter Rd
Grand Blanc, MI 48439-8538

Mailing address

6011 Porter Rd
Grand Blanc, MI 48439-8538
Phone (810) 695-1122

Other identifiers 1

IdentifierTypeStateIssuer
2122100MedicaidMI

National Provider Directory

National Provider Directory

Locations

6011 Porter Rd
Grand Blanc, MI 48439
Phone (810) 694-2270

Practitioners & affiliated clinicians

Practitioners 1

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": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1568637643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6011 PORTER RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398538",
            "telephone_number": "810-695-1122",
            "fax_number": "810-695-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 PORTER RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398538",
            "telephone_number": "810-695-1122",
            "fax_number": "810-695-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L HAMILTON DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "810-695-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101008048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2122100",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.