Organization Active NPI

Stanley S. Roland, D.O., P.C.

  • Dermatology Physician
  • Lapeer, MI
National Provider Identifier
1790977494
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
SR007473 Issued in MI
Legal business name
STANLEY S. ROLAND, D.O., P.C.
Practice address
610 North Main Street
Lapeer, MI 48446
Phone
(810) 667-9000
Fax
(810) 667-2001
NPI assigned
Aug 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

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

Authorized official

Name
Mr. Stanley Szumiak Roland, DONPI 1013988278
Title
President
Phone
(810) 667-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X SR007473 MI Primary

Addresses

Primary practice location

610 North Main Street
Lapeer, MI 48446

Mailing address

610 North Main Street
Lapeer, MI 48446
Phone (810) 667-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090928000128 MI Part B Supplier - Clinic/Group Practice 0648326025 Receives reassigned benefits from 1 practitioner
Practice locations: Birch Run, MI; Frankenmuth, MI; Lapeer, MI

National Provider Directory

National Provider Directory

Locations

174 S Main St
Romeo, MI 48065
Phone (586) 372-7200

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1790977494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 NORTH MAIN STREET",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "48446",
            "telephone_number": "810-667-9000",
            "fax_number": "810-667-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 NORTH MAIN STREET",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "48446",
            "telephone_number": "810-667-9000",
            "fax_number": "810-667-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY S. ROLAND, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "ROLAND",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "SZUMIAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-667-9000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": "SR007473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.