Robert a Zoltowski DO PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

5101011438 Issued in MI

Legal business name

ROBERT A ZOLTOWSKI DO PC

Practice address

580 Forest Ave
Suite 6B
Plymouth, MI 48170-1780

Phone

(734) 416-0780

Fax

(734) 354-8624

NPI assigned

Jul 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robert A Zoltowski, DO

Title

Owner

Phone

(734) 416-0780

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1679736557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 FOREST AVE",
            "address_2": "SUITE 6B",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701780",
            "telephone_number": "734-416-0780",
            "fax_number": "734-354-8624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 FOREST AVE",
            "address_2": "SUITE 6B",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701780",
            "telephone_number": "734-416-0780",
            "fax_number": "734-354-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A ZOLTOWSKI DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "ZOLTOWSKI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-416-0780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "5101011438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3275276-11",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Lee Rivard, RD
• Vladimir Francisco Rivera Lapeiretta
• Jeremy Rivera Vazquez
• Tiffany Robb Van Dyke
• Nancy Anne Robbins-Mandell, PT
• Robert Vartabedian M.D. P.C.
• Amber Lee Roberts
• Brooke Roberts
• Christopher Roberts, M.A.
• David James Roberts, LMSW

• Psychiatry Physician in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.