CHARLES R VANDER ROEST DO NPI 1831139740

NPI Information

  • NPI: 1831139740
  • Provider Name: CHARLES R VANDER ROEST, DO
  • Classification: Emergency Medicine - 207PE0004X
  • Specialization: Emergency Medical Services
  • Entity Type: Individual
  • Address: 28050 GRAND RIVER AVE
    ER DEPARTMENT
    FARMINGTON HILLS, MI
    ZIP 48336
  • Phone: (248) 471-8000

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NPI Details

Charles R Vander Roest, DO is an emergency medical services emergency medicine in Farmington Hills, MI. The provider is 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. Charles R Vander Roest, DO NPI is 1831139740. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

28050 GRAND RIVER AVE
ER DEPARTMENT
FARMINGTON HILLS, MI
ZIP 48336-919
Phone: (248) 471-8000

The enumeration date for this NPI number is 6/8/2006 and was last updated on 7/29/2009.

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
1207PE0004XEmergency MedicineEmergency Medical ServicesCV007456MICHIGANYes

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
1MI1504016MEDICARE UPINMICHIGAN
2N83060013MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
3MI1503016MEDICARE UPINMICHIGAN
4E49630MEDICARE UPIN
5MI1503MEDICARE PINMICHIGAN
6MI1504MEDICARE PINMICHIGAN
7114570870MEDICAIDMICHIGAN

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: 3/30/2025

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