Organization Active NPI

Levine Laser Center, PLLC

  • Internal Medicine Physician
  • Birmingham, MI
National Provider Identifier
1871652206
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301051449 Issued in MI
Legal business name
LEVINE LASER CENTER, PLLC
Practice address
1157 S Adams Rd
Birmingham, MI 48009-7101
Phone
(248) 646-8600
Fax
(248) 646-4073
NPI assigned
Dec 8, 2006
Last updated
Oct 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Dr. Robert C Levine, M.D.
Title
Owner
Phone
(248) 646-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301051449 MI Primary

Addresses

Primary practice location

1157 S Adams Rd
Birmingham, MI 48009-7101

Mailing address

1157 S Adams Rd
Birmingham, MI 48009-7101
Phone (248) 646-8600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1871652206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 S ADAMS RD",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480097101",
            "telephone_number": "248-646-8600",
            "fax_number": "248-646-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 S ADAMS RD",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480097101",
            "telephone_number": "248-646-8600",
            "fax_number": "248-646-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVINE LASER CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-646-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301051449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.