Edward C Robles MD PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

4301066617 Issued in MI

Legal business name

EDWARD C ROBLES MD PLLC

Practice address

1418 E Michigan Ave
Jackson, MI 49202-3518

Phone

(517) 782-6055

Fax

(517) 782-6099

NPI assigned

Oct 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edward Conrad Robles, MD

Title

Owner

Phone

(517) 782-6055

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1649469305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 E MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023518",
            "telephone_number": "517-782-6055",
            "fax_number": "517-782-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1418 E MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492023518",
            "telephone_number": "517-782-6055",
            "fax_number": "517-782-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD C ROBLES MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "ROBLES",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "CONRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-782-6055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301066617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Eck
• Tabatha Eddy
• Margaret Anne Edger, CCHW, CPRC
• Tamara Sue Edinger, LMSW, ACSW
• Jose Tad-Y Edurese, MD
• Angela Edward, LMSW-C
• Cassandra Edwards
• Diaja Edwards
• Diamond Edwards
• Hilary Edwards, RD

• Specialist in Jackson, MI
• Providers in Jackson, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.