Active NPI
Robert H. Auth, D.O.
- Diagnostic Radiology Physician
- Livonia, MI
National Provider Identifier
1861642167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 5101004870
- Practice address
- 9820 Ingram St.
Livonia, MI 48150-2818 - Phone
- (734) 261-5924
- Fax
- (734) 261-5924
- NPI assigned
- Sep 23, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 5101004870 | MI | Primary |
Addresses
Primary practice location
9820 Ingram St.
Livonia, MI 48150-2818
Mailing address
9820 Ingram St.
Livonia, MI 48150-2818
Phone (734) 261-5924
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1835686 | 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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101004870 | MI | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1861642167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9820 INGRAM ST.",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481502818",
"telephone_number": "734-261-5924",
"fax_number": "734-261-5924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9820 INGRAM ST.",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481502818",
"telephone_number": "734-261-5924",
"fax_number": "734-261-5924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUTH",
"first_name": "ROBERT",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-23",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "5101004870",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1835686",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.