DR. ROBERT LEWIS ELGIN


Address: 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081-3203
Phone: (586) 771-4820

DR. ROBERT LEWIS ELGIN (NPI# 1053674101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053674101
Entity Type Individual
Full Name DR. ROBERT LEWIS ELGIN
Credential D.O.
Practice Address 20952 E 12 Mile Rd Ste 200
Saint Clair Shores
MI 48081-3203
Practice Telephone (586) 771-4820
Practice Fax Number 5867716620
Mailing Telephone (586) 771-4820
Mailing Fax Number 5867716620
Enumeration Date 2012-06-22
Last Update Date 2017-06-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 5101020106 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI BCBSM 0E06273 01

Other Providers ROBERT ELGIN

NPI Name Taxonomy Address Enumeration
1235116807 Robert Gregory Elgin Ophthalmology 11800 Rock Landing Dr, Newport News, VA 23606-4206 2005-12-27

Office Location

Street Address 20952 E 12 MILE RD STE 200
City SAINT CLAIR SHORES
State MI
Zip Code 48081-3203

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265498117 Dinesh John Telang Urology 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081 2006-04-20
1902419104 Jacob Jewell Nurse Practitioner 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081-3203 2020-08-26
1407269822 Emily Suzanne Oshnock Physician Assistant 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081 2014-06-03
1245476670 Michigan Institute of Urology Laboratory Clinical Medical Laboratory 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081-3203 2009-01-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750865416 Saint Clair Family Pharmacy LLC Pharmacy 28001 Harper Ave., Saint Clair Shores, MI 48081 2018-09-19
1669995783 Terra Laquay Ginther Social Worker 28800 Harper Ave Ste A, Saint Clair Shores, MI 48081 2017-07-20
1245676998 Julia Hanson Social Worker 27941 Harper Ave., Suite 105, St. Clair Shores, MI 48081 2013-05-21
1760731301 Life Transition Service Community/Behavioral Health 21031 Sunnydale, St. Clair Shore, MI 48081 2012-08-29
1477868792 William Burr Wood Pharmacist 21000 Twelve Milerd., St Clair Shores, MI 48081 2010-08-11
1508094350 Dominic Anthony Garrisi Anesthesiology 21018 Bon Brae, St. Clair Shores, MI 48081 2009-06-30
1992947022 Karen Ostrowski-thomas Occupational Therapist 22442 Bayview, St. Clair Shores, MI 48081 2009-04-06
1891979787 Chirag Rachhadia Physical Therapist 29150 Harper Avenue, St. Clair Shores, MI 48081 2007-12-27
1598955114 Donna Warner Manczak Psychologist 21400 E Eleven Mil Rd, St Clair Shores, MI 48081 2007-07-30
1467652347 Sumit Narayanprasad Fogla Family Medicine 21400 E Eleven Mile Road, St. Clair Shores, MI 48081 2007-07-19
Find all providers in zip 48081

Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265498117 Dinesh John Telang Urology 20952 E 12 Mile Rd Ste 200, Saint Clair Shores, MI 48081 2006-04-20
1295724060 Scott I Sircus Urology 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3200 2005-10-14
1457592990 Zachary Jonathan Liss Urology 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3200 2009-03-12
1184812992 Scott Wilkinson Urology 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3200 2007-10-05
1710976584 Stephen A Stuppler Urology 20952 E 12 Mile Rd, Suite 200, Saint Clair Shores, MI 48081-3200 2005-10-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609477488 Munson Healthcare Charlevoix Hospital Urology 11695 Park Ave, Suite A, Charlevoix, MI 49720 2020-11-06
1396235610 Munson Medical Center Urology 405 N Division Rd Ste 2, Petoskey, MI 49770-9046 2018-05-11
1770072498 Bellin Health Iron Mountain Inc Urology 1005 S Hemlock St Ste B, Iron Mountain, MI 49801-3854 2018-05-08
1205215621 Alexander David Tapper Urology 44200 Woodward Ave Ste 207, Pontiac, MI 48341-5045 2015-05-19
1912324211 Boston Medical Group, P.C. Urology 24901 Northwestern Hwy., Suite 615, Southfield, MI 48075 2014-03-25
1548600984 Katie Marie Rosen Urology 19991 Hall Rd Ste 201, Macomb, MI 48044 2013-06-30
1609213636 Arya Khatiwoda Urology 2900 Hannah Blvd Ste 104, East Lansing, MI 48823-5380 2013-05-31
1003179730 Kalen Jacob Rimar Urology 130 Town Center Dr Ste 101, Troy, MI 48084 2012-06-18
1780955294 Harry Nicholas Kotsis Urology 265 Touraine Rd, Grosse Pointe Farms, MI 48236-3308 2012-01-16
1750678264 Michael Kozminski Urology 245 Cherry St Se Ste 202, Grand Rapids, MI 49503-4607 2011-07-05
Find all providers with the same taxonomy

Competitor

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City SAINT CLAIR SHORES
Zip Code 48081

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Dataset Information

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.

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