Organization Active NPI

Robert I Gans, M.D. PC

  • Ophthalmology Physician
  • Southfield, MI
National Provider Identifier
1811158280
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
022712 Issued in MI
Legal business name
ROBERT I GANS, M.D. PC
Practice address
26615 Greenfield Rd
Southfield, MI 48076-7201
Phone
(248) 557-1070
Fax
(248) 557-4984
NPI assigned
Jun 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Mrs. Mary Patricia Arnett
Title
Biller
Phone
(248) 557-1812

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 022712 MI Primary
Medical Specialty Clinic/Center 261QM2500X 022712 MI

Addresses

Primary practice location

26615 Greenfield Rd
Southfield, MI 48076-7201

Mailing address

26615 Greenfield Rd
Southfield, MI 48076-7201
Phone (248) 557-1070

Other identifiers 2

IdentifierTypeStateIssuer
3475446MedicaidMI
3475464MedicaidMI

National Provider Directory

National Provider Directory

Locations

26615 Greenfield Rd
Southfield, MI 48076
Phone (248) 557-1070

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1811158280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26615 GREENFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480767201",
            "telephone_number": "248-557-1070",
            "fax_number": "248-557-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26615 GREENFIELD RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480767201",
            "telephone_number": "248-557-1070",
            "fax_number": "248-557-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT I GANS, M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "ARNETT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "248-557-1812",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "022712",
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MI",
            "license": "022712",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3475446",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3475464",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.