DR. ROBERT BRUCE PAGE (NPI# 1710966783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710966783 |
| Entity Type | Individual |
| Full Name | DR. ROBERT BRUCE PAGE |
| Credential | MD |
| Practice Address |
5082 Lovers Ln Portage MI 49002-1557 |
| Practice Telephone | 2693810118 |
| Practice Fax Number | 2693814610 |
| Mailing Telephone | 2693810118 |
| Mailing Fax Number | 2693814610 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 4301050795 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | PHP | 1230259 | 01 |
| MI | BLUE CROSS PIN # | 3503909888 | 01 |
| MI | BLUE CHOICE | P68785 | 01 |
| MI | 2997419 | 05 | |
| MI | MI PHYSICIAN NUMBER | 4301050795 | 01 |
| DEA # | BP0193728 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871959031 | Robert Page | Psychologist | 26 River Dr, Cascade, MT 59421-8407 | 2016-01-04 |
| 1548519507 | Robert Bruce Page | Pharmacist | 401 West Thomas St, Lake City, SC 29560 | 2012-09-06 |
| 1891937686 | Robert R Page | Audiologist-Hearing Aid Fitter | 1369 S Main St Ste 106, Boerne, TX 78006-2860 | 2009-03-25 |
| 1477687663 | Robert Page | Dentist | 160 Federal St Fl 1, Boston, MA 02110-1700 | 2007-03-16 |
| 1396878542 | Robert Leslie Page | Counselor | 113 S College St, Monroe, NC 28112-5427 | 2007-03-14 |
| 1295871721 | Robert F Page | Dentist | 535 E 500 S Ste C, Bountiful, UT 84010-3873 | 2007-01-30 |
| 1912083247 | Robert A Page | Chiropractor | 737 E Main Street, Ste A, Lancaster, OH 43130-3960 | 2006-10-30 |
| 1619970977 | Robert Lee Page II | Pharmacist | 7665 E Gunnison Pl, Denver, CO 80231-5626 | 2005-05-31 |
| 1609498203 | Robert Page | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2020-05-18 |
| 1366882698 | Robert Joe Page IIi | Case Manager/Care Coordinator | 6666 Green Valley Cir, Culver City, CA 90230-7068 | 2013-07-01 |
| Street Address |
5082 LOVERS LN |
| City | PORTAGE |
| State | MI |
| Zip Code | 49002-1557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154300366 | Anthony J Van Es | Pediatrics | 5082 Lovers Ln, Portage, MI 49002-1557 | 2006-01-16 |
| 1972582302 | Stephanie Somers | Pediatrics | 5082 Lovers Ln, Portage, MI 49002-1557 | 2006-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932604204 | Susan Vandewalker | Physical Therapist | 8001 Angling Rd., Portage, MI 49002 | 2018-03-28 |
| 1134634934 | Portage Chiropractic and Wellness Center | Chiropractor | 609 E. Centre, Portage, MI 49002 | 2017-12-04 |
| 1548620537 | Patricia Eid | Behavioral Analyst | 1016 E Milham Ave, Suite 2, Portage, MI 49002 | 2016-03-03 |
| 1386045383 | Pinnacle Senior Care of Kalamazoo, LLC | Home Health | 2725 Airview Blvd Ste 105b, Portage, MI 49002 | 2014-09-09 |
| 1104241611 | Meredith Ayers Holland | Behavioral Analyst | 9616 Portage Road, Portage, MI 49002 | 2014-02-20 |
| 1619211919 | Daketia L Thomas | Massage Therapist | 8314 Portage Rd, Suite D, Kalamazoo, MI 49002 | 2012-11-27 |
| 1831457142 | Kinetic Kids, LLC | Occupational Therapist | 540 East Milham, Portage, MI 49002 | 2012-04-25 |
| 1154689404 | Lauren Michelle Mattaliano | Occupational Therapist | 540 E. Milham Road, Portage, MI 49002 | 2012-04-24 |
| 1114219227 | South Michigan Psychiatric Services LLC | Psychiatry & Neurology | 5390 Lovers Ln, Third Floor, Portage, MI 49002 | 2011-05-07 |
| 1174836316 | Premier Neuropsychiatry Plc | Psychiatry & Neurology | 5930 Lovers Lane, Portage, MI 49002 | 2010-07-16 |
| Find all providers in zip 49002 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407068695 | Trestlewood Pediatrics, P.C. | Pediatrics | 5082 Lovers Lane, Portage, MI 49002 | 2007-05-03 |
| 1396837233 | Children's Medicine P.C. | Pediatrics | 1428 W Milham Ave, Portage, MI 49024-1209 | 2006-09-29 |
| 1619903317 | Renee C Lassila | Pediatrics | 2700 East Centre Ave, Portage, MI 49002 | 2006-06-24 |
| 1477548949 | Paul B Young | Pediatrics | 2825 Hunters Trl, Portage, WI 53901-3429 | 2005-09-12 |
| 1487123972 | Emily Putnam | Pediatrics | 1428 W Milham Ave, Portage, MI 49024-1209 | 2018-11-14 |
| 1134650013 | Christine Mary Kazlauskas | Pediatrics | 6050 Sterling Creek Rd, Portage, IN 46368-7752 | 2017-03-23 |
| 1770939233 | Lorenzo Perez Romano | Pediatrics | 2817 New Pinery Rd, Portage, WI 53901-9240 | 2016-05-13 |
| 1417334541 | Mahesh Shrestha | Pediatrics | 670 Mall Dr, Portage, MI 49024 | 2015-04-27 |
| 1619317955 | Natalie M Behrle | Pediatrics | 670 Mall Dr, Portage, MI 49024 | 2013-07-01 |
| 1831458272 | Jamie Lyn Harden | Pediatrics | 2680 W Centre Ave, Portage, MI 49024-4828 | 2012-05-04 |
| Find all providers in PORTAGE | ||||
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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.