AGNES WROBEL (NPI# 1013077882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013077882 |
Entity Type | Individual |
Full Name | AGNES WROBEL |
Credential | M.D. |
Practice Address |
3601 W 13 Mile Rd Royal Oak MI 48073-6712 |
Mailing Address |
130 Town Center Dr Ste 203 Beaumont Medical Staff Affairs Troy MI 48084-1744 |
Practice Telephone | 2488987131 |
Enumeration Date | 2006-12-11 |
Last Update Date | 2015-10-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
4301075225 | MI | Allopathic & Osteopathic Physicians |
Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
4301075225 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 1013077885 | 05 | |
MI | BCBSM | 0F349850 | 01 |
COMMERCIAL-COMMERCIAL NUMBER | AW075225 | 01 | |
CHAMPUS-CHAMPUS | AW075225 | 01 |
Street Address |
3601 W 13 MILE RD |
City | ROYAL OAK |
State | MI |
Zip Code | 48073-6712 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437155538 | Cheryl A Grain | Nurse Practitioner | 3601 W 13 Mile Rd, Fsc, Royal Oak, MI 48073-6712 | 2005-06-23 |
1023617735 | Kevin Wilson Curtis | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-22 |
1164020939 | Chelsea Cloke | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-14 |
1073111258 | Jaimie Danno | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-11 |
1447857883 | Pamela Ann Boyd | Nurse Practitioner | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-10-08 |
1528675618 | Riya Kaur Kalra | Pediatrics | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-23 |
1174139612 | Kostiantyn Romaniv | Internal Medicine | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-21 |
1538775325 | Adam L Hardy | Occupational Therapist | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-17 |
1164038964 | Patricia W Choi | Pharmacy | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-09-17 |
1598377004 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 | 2020-08-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891306114 | Spine and Joint Surgical Institute of Michigan, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 200, Royal Oak, MI 48073 | 2020-08-11 |
1528679081 | Activo Physical Therapy, LLC | Clinic/Center | 5140 Coolidge Hwy, Ste 101, Royal Oak, MI 48073 | 2020-08-10 |
1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
1598389785 | Devika Aggarwal | Internal Medicine | 3601 W 13 Mile Road Beaumont Hospital- Royal Oak, Royal Oak, MI 48073 | 2020-06-03 |
1831713064 | Michael Morelli | Physical Medicine & Rehabilitation | Department of Physical Medicine and Rehabilitation, 3601 W 13 Mile Road, Royal Oak, MI 48073 | 2020-06-03 |
1134741895 | Kamil Sardarli | Internal Medicine | Beaumont Hospital - Royal Oak 3601 W Thirteen Mile Road, Royal Oak, MI 48073 | 2020-05-15 |
1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
1235771049 | Semaan Dentistry Pllc | Dentist | 30955 Woodward Ave Ste 105, Royal Oak, MI 48073 | 2019-10-14 |
1013560473 | Muhammad Waqas | Pediatrics | Beaumont Hospital Royal Oak, 3601 W 13 Mile Rd, Royal Oak, MI 48073 | 2019-07-24 |
1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
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Taxonomy Code | 2084P0802X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Addiction Psychiatry |
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316590599 | Susan Patricia Brown | Psychiatry & Neurology | 13800 Brush St, Highland Park, MI 48203-3107 | 2019-07-17 |
1730563545 | Insync Behavioral Health Pllc | Psychiatry & Neurology | 8 N Vista, Auburn Hills, MI 48326-1417 | 2015-07-13 |
1942319074 | Norman S Miller Md Jd Pllc | Psychiatry & Neurology | 716 Northlawn Ave, East Lansing, MI 48823-3059 | 2006-08-30 |
1871525592 | Samuel Allen Mendoza | Psychiatry & Neurology | 2215 Fuller Rd Rm A793, Ann Arbor, MI 48105-2303 | 2006-07-06 |
1528612843 | American Trinity Psychiatry Pllc | Psychiatry & Neurology | 1655 W Big Beaver Rd, Troy, MI 48084-3501 | 2019-07-25 |
1093373763 | Agnes Wrobel Psychiatry Pllc | Psychiatry & Neurology | 41400 Dequindre Rd Ste 121, Sterling Heights, MI 48314-3751 | 2019-05-29 |
1932459567 | Gerald A. Shiener, M.d.,p.c. | Psychiatry & Neurology | 251 E Merrill St, Suite 230, Birmingham, MI 48009-6121 | 2012-09-11 |
1851604821 | James Bartunek, M.d. PC | Psychiatry & Neurology | 1460 Walton Blvd, Suite 215, Rochester Hills, MI 48309-1768 | 2010-07-20 |
1174843163 | Thomas Park | Psychiatry & Neurology | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2010-06-02 |
1750606083 | Regents of The University of Michigan | Psychiatry & Neurology | 4260 Plymouth Rd, Ann Arbor, MI 48109-2701 | 2010-03-30 |
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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.