DR. ROBERT LEGG (NPI# 1083789358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083789358 |
| Entity Type | Individual |
| Full Name | DR. ROBERT LEGG |
| Credential | MD |
| Practice Address |
24445 Northwestern Hwy Suite # 206 Southfield MI 48075-6501 |
| Practice Telephone | 2487990086 |
| Practice Fax Number | 2483501178 |
| Mailing Telephone | 2487990086 |
| Mailing Fax Number | 2483501178 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2011-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
4301053320 | MI | Allopathic & Osteopathic Physicians |
| N | 207ZP0104X |
Pathology Specialization: Chemical Pathology |
4301053320 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
24445 NORTHWESTERN HWY SUITE # 206 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-6501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760445878 | Juan Manuel Perez | Internal Medicine | 24445 Northwestern Hwy, Suite 206, Southfield, MI 48075-6501 | 2006-04-10 |
| 1073114153 | Nile Wilson | Case Manager/Care Coordinator | 24445 Northwestern Hwy, Southfield, MI 48075-6501 | 2020-11-04 |
| 1679170302 | Shawn J Laforest | Case Manager/Care Coordinator | 24445 Northwestern Hwy, Southfield, MI 48075-6501 | 2020-10-06 |
| 1043841273 | Jessica Silber | Social Worker | 24445 Northwestern Hwy, Southfield, MI 48075-6501 | 2020-01-27 |
| 1427690932 | Brielle Marie Nelson | Case Manager/Care Coordinator | 24445 Northwestern Hwy, Southfield, MI 48075-6501 | 2019-10-16 |
| 1851940738 | Katherine Koppin | Behavior Technician | 24445 Northwestern Hwy, Southfield, MI 48075-6501 | 2019-09-04 |
| 1487202305 | Kristinia Melissa Pye | Case Manager/Care Coordinator | 24445 Northwestern Hwy, Southfield, MI 48075-6501 | 2019-09-04 |
| 1710543558 | Andrew Paul Najor | Case Manager/Care Coordinator | 24445 Northwestern Hwy, Southfield, MI 48075-6501 | 2019-05-16 |
| 1669953444 | Shayla Glass | Psychologist | 24445 Northwestern Hwy, Southfield, MI 48075-6501 | 2018-08-28 |
| 1205350162 | Jayla Anderson | Behavior Technician | 24445 Northwestern Hwy, Southfield, MI 48075-6501 | 2017-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700152014 | Nicholas Joseph | Internal Medicine | 24463 W 10 Mile Rd, Pace Southeast Michigan, Southfield, MI 48033-2931 | 2012-03-30 |
| 1255474813 | Kelly Hefferon | Internal Medicine | 21650 W 11 Mile Rd Ste 209, Southfield, MI 48076-3777 | 2007-02-14 |
| 1043314164 | William Stuart Gonte | Internal Medicine | 29877 Telegraph, Ste 401, Southfield, MI 48034 | 2006-09-11 |
| 1972605707 | Md House Calls, Pllc | Internal Medicine | 27760 Franklin Rd, Southfield, MI 48034-2300 | 2006-09-02 |
| 1760445878 | Juan Manuel Perez | Internal Medicine | 24445 Northwestern Hwy, Suite 206, Southfield, MI 48075-6501 | 2006-04-10 |
| 1851798235 | Express Physicians Limited Liability Partnership | Internal Medicine | 17330 Northland Park Ct, Southfield, MI 48075-4318 | 2014-12-01 |
| 1245633411 | Platinum Care Physicians PC | Internal Medicine | 27207 Lahser Rd, Suite 250, Southfield, MI 48034-2168 | 2014-10-02 |
| 1548683246 | Global Health Services Pllc | Internal Medicine | 29508 Southfield Rd, Suite #202, Southfield, MI 48076-2022 | 2014-01-31 |
| 1700950607 | Lake Mi Mobile Doctors, P.C. | Internal Medicine | 24445 Northwestern Hwy, Suite #206, Southfield, MI 48075-6501 | 2006-11-20 |
| 1972672103 | Arthur A Efros | Internal Medicine | 28625 Northwestern Hwy, Suite 213, Southfield, MI 48034-1828 | 2006-11-06 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.