NPIMap

Organization Active NPI

Peoples Community Medical Center PC

  • Internal Medicine Physician
  • River Rouge, MI
National Provider Identifier
1861799538
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301040568 Issued in MI
Legal business name
PEOPLES COMMUNITY MEDICAL CENTER PC
Practice address
310 Visger Rd
River Rouge, MI 48218-1037
Phone
(313) 383-6077
Fax
(313) 383-6096
NPI assigned
Feb 16, 2011
Last updated
Feb 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Authorized official

Name
Dr. Roberto J William, M.D.
Title
Internist
Phone
(313) 510-4457

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X NU
Internal Medicine Physician 207R00000X 4301040568 MI Primary

Addresses

Primary practice location

310 Visger Rd
River Rouge, MI 48218-1037

Mailing address

310 Visger Rd
River Rouge, MI 48218-1037
Phone (313) 383-6077

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1861799538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 VISGER RD",
            "city": "RIVER ROUGE",
            "state": "MI",
            "postal_code": "482181037",
            "telephone_number": "313-383-6077",
            "fax_number": "313-383-6096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 VISGER RD",
            "city": "RIVER ROUGE",
            "state": "MI",
            "postal_code": "482181037",
            "telephone_number": "313-383-6077",
            "fax_number": "313-383-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLES COMMUNITY MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAM",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "INTERNIST",
        "authorized_official_telephone_number": "313-510-4457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301040568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Rouge, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.