Provider Demographics
NPI:1225070931
Name:MCMICHAEL, ROBERT E III (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E
Last Name:MCMICHAEL
Suffix:III
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 BOWER HILL RD
Mailing Address - Street 2:AFFILIATE BILLING
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-1873
Mailing Address - Country:US
Mailing Address - Phone:412-942-2533
Mailing Address - Fax:412-942-2689
Practice Address - Street 1:733 WASHINGTON RD
Practice Address - Street 2:SUITE 401
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-2022
Practice Address - Country:US
Practice Address - Phone:412-343-1770
Practice Address - Fax:412-344-6539
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101013508207R00000X, 208M00000X
PA0S014944207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI128492OtherCARE CHOICES
MIP105243OtherBLUE CROSS
MI1158206965OtherBLUE CROSS
MI7805126OtherAETNA
MI4208446Medicaid
MIC7173OtherMCARE
MI4208446Medicaid
H29992003Medicare ID - Type Unspecified