DR. ROBERT I MORETSKY (NPI# 1487638573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487638573 |
| Entity Type | Individual |
| Full Name | DR. ROBERT I MORETSKY |
| Credential | D.O. |
| Practice Address |
25600 Schoenherr Rd Warren MI 48089-1447 |
| Practice Telephone | 5867776170 |
| Practice Fax Number | 5867776582 |
| Mailing Telephone | 5867776170 |
| Mailing Fax Number | 5867776582 |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2011-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5101005323 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1487638573 | 05 | |
| MI | RR MEDICARE | P00237883 | 01 |
| MI | BLUE SHIELD | 700H217350 | 01 |
| MI | HAP | E26627 | 01 |
| Street Address |
25600 SCHOENHERR RD |
| City | WARREN |
| State | MI |
| Zip Code | 48089-1447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710961990 | Taras Lisowsky | Family Medicine | 25600 Schoenherr Rd, Warren, MI 48089-1447 | 2005-12-01 |
| 1871892760 | Sara Tandoc | Nurse Practitioner | 25600 Schoenherr Rd, Warren, MI 48089-1447 | 2011-03-18 |
| 1104800481 | John Floreno | Family Medicine | 25600 Schoenherr Rd, Warren, MI 48089-1447 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184414 | Delaine Armstong | Pharmacist | 13488 E. 11 Mile Road, Warren, MI 48089 | 2020-01-29 |
| 1679118236 | Good N Plenty Rx LLC | Pharmacy | 22260 Van Dyke Avenue, Warren, MI 48089 | 2019-11-07 |
| 1508367111 | Meijer, Inc. | Durable Medical Equipment & Medical Supplies | 25225 Schoenherr Rd, Warren, MI 48089 | 2018-02-28 |
| 1932624970 | Jessica D Johnston | Social Worker | 11415 Metter Ave, Warren, MI 48089 | 2017-08-10 |
| 1508222944 | Dinas Kamaitis | Non-emergency Medical Transport (VAN) | 14560 E 10 Mile, 13993 10 Mile, Warren, MI 48089 | 2016-01-14 |
| 1770837296 | Michigan Home Exteriors | Durable Medical Equipment & Medical Supplies | 11444 Kaltz Ave, Warren, MI 48089 | 2012-11-06 |
| 1407100142 | Brenda Tringali | Social Worker | 12220 E 13 Mile, Warren, MI 48089 | 2012-11-02 |
| 1154606838 | Binary Therapy Alliance,inc | Home Health | 26105 Regency Club Lane, 8, Warren, MI 48089 | 2011-10-13 |
| 1396920443 | Ron Zachariah | Physical Therapist | Horizon Medical Building, 13251 E Ten Mile Road Suite 400, Warren, MI 48089 | 2008-01-08 |
| 1053500173 | Anemaecore Abadejos Brodith | Physical Therapist | 26000 Hoover Rd Ste 101, Warren, MI 48089 | 2007-10-15 |
| Find all providers in zip 48089 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770111072 | Olive Branch Medical Associates Pllc | Family Medicine | 1270 County Road 4755, Warren, TX 77664-7714 | 2020-03-31 |
| 1689169542 | Warren Family Practice, Pllc | Family Medicine | 26000 Hoover Rd Ste 105, Warren, MI 48089-1167 | 2018-06-24 |
| 1992116396 | Bradley Newton Biggers | Family Medicine | 304 E Central St., Warren, AR 71671 | 2014-05-19 |
| 1174969927 | Vikas Sacher | Family Medicine | Warren General Hospital, 2 W Crescent Park, Warren, PA 16365-2111 | 2013-05-21 |
| 1609108679 | Douglas Luke Kehres | Family Medicine | 1997 Niles Cortland Rd Se, Warren, OH 44484-3037 | 2010-02-02 |
| 1891026019 | Gary William Stucke | Family Medicine | 511 Kenmore Ave., Ne, Warren, OH 44483-5521 | 2010-01-28 |
| 1790014835 | Jeffery Elwood Hess | Family Medicine | 30400 Mound Rd, Manufacturing Bldg. C, Warren, MI 48092-2029 | 2009-12-21 |
| 1295977007 | Frank A. Diponio Jr. D.o. P.C. | Family Medicine | 29250 Heritage Parkway, Warren, MI 48092 | 2009-03-26 |
| 1669617296 | Donald Nicholas Vandamia | Family Medicine | 64 Leda Lane, Warren, PA 16365 | 2008-12-11 |
| 1598941148 | Oleh Bolukh | Family Medicine | 2539 E 12 Mile Rd, Warren, MI 48092-5648 | 2008-01-14 |
| Find all providers in WARREN | ||||
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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.