Robert Leon Pacer, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301047167 Issued in MI

Practice address

4977 Skyview CT
Traverse City, MI 49684-6941

Phone

(231) 486-5516

Fax

(231) 421-1439

NPI assigned

Mar 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FIAHAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grand Traverse Internists, PC

  • Internal Medicine Physician
  • Traverse City, MI
  • NPI 1578559365

  Internal Medicine

  NPD Authorized official

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1770543993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4977 SKYVIEW CT",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846941",
            "telephone_number": "231-486-5516",
            "fax_number": "231-421-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4977 SKYVIEW CT",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846941",
            "telephone_number": "231-486-5516",
            "fax_number": "231-421-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACER",
        "first_name": "ROBERT",
        "middle_name": "LEON",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301047167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2657319",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1102810152",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Overton, LCSW, LMSW-C
• Haley McLeod Owen, NP
• Megan Michelle Owens
• Oz Enterprises, Inc.
• Pace North
• Jill Page
• Julie J Page
• Angela Pailthorpe, PA-C
• Pain Relief Medical PLLC
• Marylee Pakieser, FNP

• All providers in Traverse City, MI
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.