Active NPI
Sentinel Health Staffing
- Diagnostic Radiology Physician
- Roseville, MI
National Provider Identifier
1932397478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301076565
- Legal business name
- SENTINEL HEALTH STAFFING
- Practice address
- 18263 E 10 Mile Rd
Roseville, MI 48066-5805 - Phone
- (586) 465-2879
- Fax
- (586) 465-5424
- NPI assigned
- Oct 10, 2007
- 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
- Robbie Petropoulos
- Title
- Partner
- Phone
- (586) 465-2879
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 4301076565 | MI | Primary |
Addresses
Primary practice location
18263 E 10 Mile Rd
Roseville, MI 48066-5805
Mailing address
245 Cass Ave
Mount Clemens, MI 48043-2118
Phone (586) 465-2879
National Provider Directory
National Provider Directory- Tax ID family
- Sentinel Health Staffing
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Diagnostic Radiology Physician
- Detroit, MI
- NPI 1841505815
Locations
245 Cass Ave
Mount Clemens, MI 48043
18263 E 10 Mile Rd
Roseville, MI 48066
Phone (586) 778-4950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203984000000",
"number": "1932397478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 CASS AVE",
"city": "MOUNT CLEMENS",
"state": "MI",
"postal_code": "480432118",
"telephone_number": "586-465-2879",
"fax_number": "586-465-5424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18263 E 10 MILE RD",
"city": "ROSEVILLE",
"state": "MI",
"postal_code": "480665805",
"telephone_number": "586-465-2879",
"fax_number": "586-465-5424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENTINEL HEALTH STAFFING",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-10",
"last_updated": "2008-02-26",
"status": "A",
"authorized_official_last_name": "PETROPOULOS",
"authorized_official_first_name": "ROBBIE",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "586-465-2879"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301076565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.