Michael D Rebock DO PLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MICHAEL D REBOCK DO PLC

Practice address

28080 Grand River Ave
Suite 208 North
Farmington Hills, MI 48336-5966

Phone

(248) 478-7734

NPI assigned

Jan 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Michael D Rebock, DONPI 1982796355

Title

Owner

Phone

(248) 478-7734

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael David Rebock, DO

  • Surgery Physician
  • Farmington Hills, MI
  • NPI 1982796355
  Medicare reassignment Care Compare group NPD Authorized official
• Jeffrey Richard Gerken, D.O.

  • Surgery Physician
  • Farmington Hills, MI
  • NPI 1851504203
  Medicare reassignment Care Compare group NPD
• Amelia Marie Pasley, D.O.

  • Surgery Physician
  • Farmington Hills, MI
  • NPI 1144549080
  Medicare reassignment Care Compare group NPD
• Victoria Lynn Sharp, D.O.

  • Trauma Surgery Physician
  • Ypsilanti, MI
  • NPI 1417249442
  Medicare reassignment NPD

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1982841672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28080 GRAND RIVER AVE",
            "address_2": "SUITE 208 NORTH",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365966",
            "telephone_number": "248-478-7734",
            "fax_number": "248-478-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28080 GRAND RIVER AVE",
            "address_2": "SUITE 208 NORTH",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365966",
            "telephone_number": "248-478-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D REBOCK DO PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "REBOCK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-478-7734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "323358011",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Michael Czarnota, PH.D., P.L.L.C.
• Michael H. Eidelman M.D. P.C.
• Michael Mahon D O PC
• Jamie Michael
• Jennifer Michael
• Nancy Michael

• Surgery Physician in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.

Verify at the official NPI Registry.