SHIRLEY J ROBERTSON MD NPI 1396849667

NPI Information

NPI: 1396849667
Provider Name: SHIRLEY J ROBERTSON, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
1540 LAKE LANSING RD
SUITE 102
LANSING, MI
ZIP 48912
Phone: (517) 913-3810
Get Directions

Shirley J Robertson, MD is a family medicine in Lansing, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Shirley J Robertson, MD NPI is 1396849667. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1540 LAKE LANSING RD
SUITE 102
LANSING, MI
ZIP 48912-756
Phone: (517) 913-3810
Fax: (517) 913-3811

The enumeration date for this NPI number is 9/8/2006 and was last updated on 10/8/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		SR036051	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0803307571	OTHER	MICHIGAN	BLUE CARE NETWORK
2	1021672	OTHER	MICHIGAN	MCLAREN HEALTH PLAN-COMMERCIAL
3	1021672	OTHER	MICHIGAN	MCLAREN HEALTH PLAN-MEDICAID
4	200000002859	OTHER	MICHIGAN	PHP
5	D94204	MEDICARE UPIN
6	0803307571	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD
7	200000002622	OTHER	MICHIGAN	PHP FAMILYCARE
8	4397827	MEDICAID	MICHIGAN
9	4926050	MEDICAID	MICHIGAN
10	1021672	OTHER	MICHIGAN	MCLAREN HEALTH ADVANTAGE
11	0M21440057	OTHER	MICHIGAN	MEDICARE ADVANTAGE
12	4452231	OTHER	MICHIGAN	AETNA
13	M21440057	MEDICARE PIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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