Healthcare Provider Details

I. General information

NPI: 1225070931
Provider Name (Legal Business Name): ROBERT E. MCMICHAEL III D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 02/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

733 WASHINGTON RD SUITE 401
PITTSBURGH PA
15228-2022
US

IV. Provider business mailing address

1000 BOWER HILL RD AFFILIATE BILLING
PITTSBURGH PA
15243-1873
US

V. Phone/Fax

Practice location:
  • Phone: 412-343-1770
  • Fax: 412-344-6539
Mailing address:
  • Phone: 412-942-2533
  • Fax: 412-942-2689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number5101013508
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number5101013508
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0S014944
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: