Active NPI
Robert Campbell Ward III, D.O.
- Neurology Physician
- Saint Joseph, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 5101009750
- Practice address
- 3950 Hollywood Rd
Suite 230
Saint Joseph, MI 49085-9159 - Phone
- (269) 985-0000
- Fax
- (269) 985-0360
- NPI assigned
- Jul 7, 2005
- Last updated
- Feb 21, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 5101009750 | MI | Primary |
Addresses
Primary practice location
3950 Hollywood Rd
Suite 230
Saint Joseph, MI 49085-9159
Mailing address
3950 Hollywood Rd
Suite 230
Saint Joseph, MI 49085-9159
Phone (269) 985-0000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4170582 | Medicaid | MI |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Michigan State University College of Osteopathic Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3950 Hollywood Rd
Saint Joseph, MI 49085-9151
Phone (269) 408-0990
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101004404 | MI | MD | Neuromusculoskeletal Medicine & OMM Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Lakeland Hospitals at Niles and St Joseph, Inc | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Michiana Regional Sleep Disorders Center P.C. | Past | Accepting new patients |
Locations
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
3904 Stonegate Park
Saint Joseph, MI 49085
Phone (269) 982-5864
3950 Hollywood Rd
Ste 210
Saint Joseph, MI 49085
Phone (269) 556-1990
3950 Hollywood Rd
Ste 230
Saint Joseph, MI 49085
Phone (269) 985-0000
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
Interoperability endpoints
- rward1272537@epic00.corewelldirect.org
- rward5013@lakeland.midirect.net
Organizations & group practices 6
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.
-
dba Corewell Health Medical Group South
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
-
dba Corewell Health Lakeland Hospitals
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
-
- Neurology Physician
- Saint Joseph, MI
- NPI 1346387784
-
dba Corewell Health Lakeland Hospitals (MDPP)
- Community Health Clinic/Center
- Saint Joseph, MI
- NPI 1184513731
-
dba Corewell Health Medical Group South
- Internal Medicine Physician
- Bridgman, MI
- NPI 1568232247
-
- Durable Medical Equipment & Medical Supplies
- Saint Joseph, MI
- NPI 1083768451
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Corewell Health Watervliet Hospital
- General Acute Care Hospital
- Watervliet, MI
- NPI 1700994845
-
dba Corewell Health Lakeland Hospitals
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487635200000",
"number": "1598762379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3950 HOLLYWOOD RD",
"address_2": "SUITE 230",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490859159",
"telephone_number": "269-985-0000",
"fax_number": "269-985-0360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 HOLLYWOOD RD",
"address_2": "SUITE 230",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490859159",
"telephone_number": "269-985-0000",
"fax_number": "269-985-0360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "ROBERT",
"middle_name": "CAMPBELL",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2017-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "5101009750",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4170582",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.