DR. MICHAEL D. ROEBUCK (NPI# 1992894406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992894406 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL D. ROEBUCK |
| Credential | M.D. |
| Practice Address |
1 Hurley Plz Flint MI 48503-5902 |
| Mailing Address |
1 Hurley Plz 5th Floor S.o.n. Flint MI 48503-5902 |
| Practice Telephone | 8102579429 |
| Practice Fax Number | 8102579104 |
| Mailing Telephone | 8107627038 |
| Mailing Fax Number | 8107600440 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
4301064317 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3427510 | 05 | |
| MI | BLUE SHIELD | 0B51090 | 01 |
| Street Address |
1 HURLEY PLZ |
| City | FLINT |
| State | MI |
| Zip Code | 48503-5902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567053 | Robert Welch | Obstetrics & Gynecology | 1 Hurley Plz, Flint, MI 48503-5902 | 2005-06-13 |
| 1114526076 | Vin Zephyr Swift | Physician Assistant | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-10-21 |
| 1245843275 | Bashir Imam | Student in an Organized Health Care Education/Training Program | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-08-28 |
| 1639789837 | Hadeel Allam | Pediatrics | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-08-03 |
| 1629687637 | Tazeen Qureshi | Student in an Organized Health Care Education/Training Program | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-07-26 |
| 1831707157 | Samira Ali | Student in an Organized Health Care Education/Training Program | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-07-22 |
| 1629695218 | Jillian Arlene Morris | Nurse Practitioner | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-06-29 |
| 1609492164 | Monica Rani Julapelly | Student in an Organized Health Care Education/Training Program | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-06-21 |
| 1992321830 | Brittany Radler | Nurse Practitioner | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-06-16 |
| 1073137071 | Kirsten Nicole Bonifacio | Student in an Organized Health Care Education/Training Program | 1 Hurley Plz, Flint, MI 48503-5902 | 2020-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
| Find all providers in zip 48503 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346486222 | Flushing Road Urgent Care PC | Emergency Medicine | 1301 Flushing Rd, Flint, MI 48504-4710 | 2008-12-26 |
| 1790764553 | Kavitha Baddam | Emergency Medicine | 1515 W Atherton Rd, Flint, MI 48507-5300 | 2006-01-11 |
| 1013919372 | Stat Care PC | Emergency Medicine | 3921 Beecher Rd, Flint, MI 48532-3602 | 2005-06-01 |
| 1164505665 | James E. Weber | Emergency Medicine | 1 Hurley Plz, Flint, MI 48503-5902 | 2006-10-20 |
| 1912096447 | Eric M. Barach | Emergency Medicine | 1 Hurley Plz, Flint, MI 48503-5902 | 2006-10-12 |
| 1548359375 | Peter J. Stoyanoff | Emergency Medicine | 1 Hurley Plz, Flint, MI 48503-5902 | 2006-10-12 |
| 1750479085 | Patrick J. Hawley | Emergency Medicine | 1 Hurley Plz, Flint, MI 48503-5902 | 2006-10-11 |
| 1548358666 | Franz M. Jaggi | Emergency Medicine | 1 Hurley Plz, Flint, MI 48503-5902 | 2006-10-11 |
| 1154419562 | Hernan F. Gomez | Emergency Medicine | 1 Hurley Plz, Flint, MI 48503-5902 | 2006-10-11 |
| 1710083910 | Michael Boczar | Emergency Medicine | 1 Hurley Plz, Flint, MI 48503-5902 | 2006-09-15 |
| Find all providers in FLINT | ||||
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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.