Robert Arthur Ellwood, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

4301034008 Issued in MI

Practice address

20046 Ronsdale Dr
Beverly Hills, MI 48025-3856

Phone

(248) 644-8281

NPI assigned

Mar 12, 2013

Last updated

Mar 12, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363046400000",
    "number": "1619218971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20046 RONSDALE DR",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480253856",
            "telephone_number": "248-644-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20046 RONSDALE DR",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480253856",
            "telephone_number": "248-644-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLWOOD",
        "first_name": "ROBERT",
        "middle_name": "ARTHUR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-12",
        "last_updated": "2013-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301034008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Louise Dolinshek, P.T.
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• Elaine J. Horigian, Ma, PC
• Elaine M Swenson Ma LLP PLLC
• Endocrinology Center PC
• Everyday Living Nutrition
• Family First Chiropractic Care
• Jennifer Lauren Fantich, CCC-SLP
• Jon Fibeger, MASTERS

• General Practice Physician in Beverly Hills, MI
• Providers in Beverly Hills, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.