Active NPI
Robert Faber, DO
- Emergency Medical Services (Emergency Medicine) Physician
- Pontiac, MI
National Provider Identifier
1790760130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 5101011927
- Practice address
- 50 N Perry St
Pontiac, MI 48342-2217 - Phone
- (248) 338-5327
- Fax
- (248) 338-5129
- NPI assigned
- Dec 8, 2005
- 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 |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 5101011927 | MI | Primary |
Addresses
Primary practice location
50 N Perry St
Pontiac, MI 48342-2217
Mailing address
50 N Perry St
Pontiac, MI 48342-2217
Phone (248) 338-5327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4722550 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Degara, PLLC | Past | Accepting new patients | |
| Shorepointe Emergency Care Physicians PC | Emergency Medical Services | Past | Accepting new patients |
| Nes of Port Huron, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Pontiac, MI
- NPI 1457589657
-
- Emergency Medicine Physician
- Port Huron, MI
- NPI 1356585327
-
- Emergency Medical Services (Emergency Medicine) Physician
- Grosse Pointe Farms, MI
- NPI 1043296296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243900800000",
"number": "1790760130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 N PERRY ST",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483422217",
"telephone_number": "248-338-5327",
"fax_number": "248-338-5129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N PERRY ST",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483422217",
"telephone_number": "248-338-5327",
"fax_number": "248-338-5129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FABER",
"first_name": "ROBERT",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-08",
"last_updated": "2009-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MI",
"license": "5101011927",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4722550",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.