Active NPI
Enid Roberts MD PLLC
- Obstetrics & Gynecology Physician
- Chesterfield, MI
National Provider Identifier
1861661985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301057945
- Legal business name
- ENID ROBERTS MD PLLC
- Practice address
- 33497 23 Mile Rd
Suite 160
Chesterfield, MI 48047-4062 - Phone
- (586) 716-1702
- Fax
- (586) 716-1706
- NPI assigned
- Feb 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Enid Roberts, MD
- Title
- Physcian/Owner
- Phone
- (586) 716-1702
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301057945 | MI | Primary |
Addresses
Primary practice location
33497 23 Mile Rd
Suite 160
Chesterfield, MI 48047-4062
Mailing address
PO Box 99251
Troy, MI 48099-9251
Phone (586) 716-1702
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
33497 23 Mile Rd
Ste 160
Chesterfield, MI 48047
Phone (586) 716-1702
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Chesterfield, MI
- NPI 1164445748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1384732800000",
"number": "1861661985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99251",
"city": "TROY",
"state": "MI",
"postal_code": "480999251",
"telephone_number": "586-716-1702",
"fax_number": "586-716-1706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33497 23 MILE RD",
"address_2": "SUITE 160",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480474062",
"telephone_number": "586-716-1702",
"fax_number": "586-716-1706"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENID ROBERTS MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-22",
"last_updated": "2013-11-18",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "ENID",
"authorized_official_title_or_position": "PHYSCIAN/OWNER",
"authorized_official_telephone_number": "586-716-1702",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301057945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.