Deactivated NPI 1578555751 Deactivated / Inactive NPI Male Practitioner

Dr. Robert M Doane , MD

Orthopaedic Surgery • Jackson, MI

✓ Accepts Medicare Assignment

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Doane has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 16, 2005

NPI Deactivation Date April 10, 2006

Total Practice Duration ~12 Years of Practice (1994 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Doane, MD was a registered Orthopaedic Surgery in Jackson, MI. Prior to record deactivation on 2006-04-10, Dr. Doane completed approximately 12 years of clinical practice following graduation from Wayne State University School Of Medicine in 1994.

Dr. Doane was affiliated with Portage Physician Practices Inc and accepted Medicare assignment.

Historical Medicare Part B clinical services included established patient outpatient office visit, aspiration and/or injection of fluid from large joint, x-ray of knee, 1-2 views. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

956 Cooper St

Jackson, MI 492021847

Telephone 5177873900

Fax 5177874318

Associated Practice Facility / Clinic

🏢 Cascades Orthopedic Rehabilitation Services Inc Facility NPI 1629473327

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Jackson, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +10.4 yrs vs City Avg

City Avg: 21.6 Yrs

State Avg: 24.3 Yrs

Regional Practice Density

11 Specialists

Practicing in Jackson, MI (1014 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Doane (32 Years) 32 Yrs

Jackson Specialty Average (21.6 Years) 21.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	159	104	$90.00	$84.95
20610 Aspiration and/or injection of fluid from large joint	148	62	$154.05	$61.63
73560 X-ray of knee, 1-2 views	108	67	$50.00	$30.61
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	102	61	$12.00	$0.98
73030 X-ray of shoulder, minimum of 2 views	86	47	$65.00	$32.00
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	57	11	$255.00	$72.33
73502 X-ray of hip, 2-3 views	35	27	$65.00	$39.55
73565 X-ray of both knees while standing	32	31	$65.00	$36.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	26	$150.00	$121.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$150.00	$106.09
73010 X-ray of shoulder blade	20	19	$50.00	$22.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	11	$60.00	$53.01
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	14	13	$450.00	$93.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	223	164	$90.00	$87.19
20610 Aspiration and/or injection of fluid from large joint	216	90	$150.69	$62.49
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	163	101	$12.00	$1.07
73560 X-ray of knee, 1-2 views	148	81	$50.00	$31.89
73030 X-ray of shoulder, minimum of 2 views	101	70	$65.00	$32.31
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	82	13	$255.00	$74.72
73502 X-ray of hip, 2-3 views	75	47	$65.00	$41.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$150.00	$105.94
73565 X-ray of both knees while standing	54	52	$65.00	$37.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	34	$60.00	$53.88
73010 X-ray of shoulder blade	42	42	$50.00	$22.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	33	$150.00	$123.55
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	29	28	$450.00	$96.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$221.00	$161.60
73521 X-ray of both hips, 2 views	13	12	$90.00	$39.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$250.00	$170.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$175.00	$127.91
27447 Replacement of knee joint, both sides of knee	11	11	$3500.00	$1264.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	254	179	$90.00	$88.32
20610 Aspiration and/or injection of fluid from large joint	211	91	$150.71	$63.41
73560 X-ray of knee, 1-2 views	166	93	$50.00	$32.63
J1030 Injection, methylprednisolone acetate, 40 mg	157	110	$12.00	$6.49
73030 X-ray of shoulder, minimum of 2 views	143	92	$65.00	$33.02
73502 X-ray of hip, 2-3 views	91	54	$65.00	$40.45
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	87	16	$255.00	$75.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$150.00	$108.23
73565 X-ray of both knees while standing	76	74	$65.00	$38.75
73010 X-ray of shoulder blade	58	57	$50.00	$22.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	36	$150.00	$124.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	28	$60.00	$54.75
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	35	33	$450.00	$96.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$221.00	$161.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$250.00	$193.89
73521 X-ray of both hips, 2 views	15	14	$90.00	$37.72
73020 X-ray of shoulder, 1 view	12	12	$40.00	$20.75
27447 Replacement of knee joint, both sides of knee	11	11	$3500.00	$1273.44
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$2670.00	$1214.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	281	195	$90.00	$87.90
73560 X-ray of knee, 1-2 views	195	104	$50.00	$31.67
73030 X-ray of shoulder, minimum of 2 views	193	105	$65.00	$31.88
20610 Aspiration and/or injection of fluid from large joint	191	101	$153.14	$62.57
J1030 Injection, methylprednisolone acetate, 40 mg	173	117	$12.00	$5.56
73502 X-ray of hip, 2-3 views	92	59	$65.00	$41.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$150.00	$110.12
73010 X-ray of shoulder blade	76	72	$50.00	$22.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	66	$150.00	$125.57
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	58	13	$255.00	$75.29
73565 X-ray of both knees while standing	56	55	$65.00	$38.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$221.00	$165.10
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	33	32	$463.64	$95.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	17	$60.00	$54.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$250.00	$197.05
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	19	18	$1500.00	$175.21
27447 Replacement of knee joint, both sides of knee	18	17	$3500.00	$1288.09
73020 X-ray of shoulder, 1 view	17	17	$40.00	$20.77
73521 X-ray of both hips, 2 views	17	16	$90.00	$37.67
29824 Partial removal of collar bone at shoulder using an endoscope	16	16	$1100.00	$352.71
23472 Prosthetic repair of shoulder joint, total shoulder	14	14	$3500.00	$1445.90
77085 Bone density measurement using dedicated x-ray machine	13	13	$60.00	$50.35
29827 Repair of shoulder rotator cuff using an endoscope	12	12	$2100.00	$1070.46
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$3350.00	$1290.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$175.00	$134.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	246	115	$150.00	$60.93
73560 X-ray of knee, 1-2 views	225	112	$50.00	$30.79
J1030 Injection, methylprednisolone acetate, 40 mg	221	146	$12.00	$6.01
73030 X-ray of shoulder, minimum of 2 views	199	120	$65.00	$31.36
99213 Established patient office or other outpatient visit, typically 15 minutes	195	148	$90.00	$73.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	130	130	$150.00	$104.09
73501 X-ray of hip with pelvis, 1 view	100	59	$40.00	$29.24
73010 X-ray of shoulder blade	87	76	$50.00	$26.59
73565 X-ray of both knees while standing	80	80	$65.00	$36.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	80	74	$60.00	$44.27
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	64	16	$255.00	$79.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	48	$151.27	$105.49
76881 Complete ultrasound of joint of arm or leg	48	48	$300.00	$75.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$221.00	$161.69
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	39	36	$450.00	$91.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$250.00	$203.48
27447 Replacement of knee joint, both sides of knee	18	18	$3500.00	$1361.13
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	18	17	$75.00	$51.79
73521 X-ray of both hips, 2 views	17	16	$90.00	$38.10
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	11	11	$1500.00	$179.29
29824 Partial removal of collar bone at shoulder using an endoscope	11	11	$1100.00	$337.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	247	171	$90.00	$69.24
73560 X-ray of knee, 1-2 views	236	110	$50.00	$28.52
J1030 Injection, methylprednisolone acetate, 40 mg	206	136	$12.00	$6.28
20610 Aspiration and/or injection of fluid from large joint	202	103	$150.00	$56.22
73030 X-ray of shoulder, minimum of 2 views	195	110	$65.00	$26.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$150.00	$100.38
73502 X-ray of hip, 2-3 views	72	51	$65.00	$37.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	67	$150.00	$100.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$221.00	$153.92
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	67	66	$75.00	$49.35
76881 Complete ultrasound of joint of arm or leg	62	59	$300.00	$81.07
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	58	12	$255.00	$79.33
73565 X-ray of both knees while standing	52	52	$65.00	$33.72
73010 X-ray of shoulder blade	50	45	$50.00	$28.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	32	32	$175.00	$126.57
73552 X-ray of thigh bone, minimum 2 views	32	15	$50.00	$19.53
29824 Partial removal of collar bone at shoulder using an endoscope	30	29	$1100.00	$279.95
20550 Injection into tendon or ligament	30	25	$95.00	$50.11
73020 X-ray of shoulder, 1 view	30	29	$40.00	$21.62
77080 Dxa bone density measurement of hip, pelvis, spine	29	29	$110.00	$35.83
73100 X-ray of wrist, 2 views	26	12	$50.00	$24.10
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	24	18	$450.00	$86.11
27447 Replacement of knee joint, both sides of knee	22	22	$3500.00	$1264.39
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	22	22	$300.00	$53.18
29827 Repair of shoulder rotator cuff using an endoscope	22	21	$2100.00	$1010.04
73070 X-ray of elbow, 2 views	21	11	$45.00	$24.47
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	20	20	$1500.00	$170.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$60.00	$41.54
73521 X-ray of both hips, 2 views	14	14	$90.00	$33.16
23472 Prosthetic repair of shoulder joint, total shoulder	14	14	$3500.00	$1399.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$250.00	$191.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	270	149	$150.00	$55.74
J1030 Injection, methylprednisolone acetate, 40 mg	260	187	$12.00	$6.62
73030 X-ray of shoulder, minimum of 2 views	240	144	$65.00	$26.06
99213 Established patient office or other outpatient visit, typically 15 minutes	235	177	$90.00	$67.74
73560 X-ray of knee, 1-2 views	211	121	$50.00	$28.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	113	113	$150.00	$100.06
73502 X-ray of hip, 2-3 views	105	79	$65.00	$35.37
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	95	88	$75.00	$50.04
73010 X-ray of shoulder blade	90	80	$50.00	$27.70
73565 X-ray of both knees while standing	77	76	$65.00	$32.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	67	$150.00	$100.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$221.00	$152.76
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	57	15	$255.00	$83.92
76881 Complete ultrasound of joint of arm or leg	53	53	$300.00	$93.34
77080 Dxa bone density measurement of hip, pelvis, spine	46	46	$110.00	$38.08
20550 Injection into tendon or ligament	41	38	$95.00	$49.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	32	$175.00	$130.24
73610 X-ray of ankle, minimum of 3 views	29	16	$50.00	$21.66
76000 Imaging guidance for procedure, 60 minutes or less	23	22	$32.61	$8.42
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	23	23	$300.00	$55.77
29824 Partial removal of collar bone at shoulder using an endoscope	23	23	$1100.00	$283.70
27447 Replacement of knee joint, both sides of knee	22	22	$3500.00	$1264.68
23472 Prosthetic repair of shoulder joint, total shoulder	21	21	$3500.00	$1404.76
29827 Repair of shoulder rotator cuff using an endoscope	19	19	$2100.00	$1010.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$250.00	$192.62
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	15	15	$1500.00	$170.90
73020 X-ray of shoulder, 1 view	14	14	$40.00	$21.01
27506 Open treatment of broken thigh bone	14	14	$2450.00	$1286.33
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	13	13	$3500.00	$1150.17
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	13	13	$450.00	$85.30
29823 Removal of extensive shoulder joint tissue using an endoscope	11	11	$1600.00	$140.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
73030 X-ray of shoulder, minimum of 2 views	330	169	$65.00	$26.57
20610 Aspiration and/or injection of fluid from large joint	285	139	$150.00	$58.34
99213 Established patient office or other outpatient visit, typically 15 minutes	279	208	$90.00	$69.63
J1030 Injection, methylprednisolone acetate, 40 mg	272	177	$12.00	$5.73
73560 X-ray of knee, 1-2 views	235	130	$50.00	$28.63
73010 X-ray of shoulder blade	107	92	$50.00	$27.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	105	105	$150.00	$103.60
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	101	95	$75.00	$51.40
73502 X-ray of hip, 2-3 views	95	67	$65.00	$36.97
73565 X-ray of both knees while standing	81	79	$65.00	$33.34
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	78	15	$255.00	$84.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	62	$150.00	$102.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$221.00	$158.31
76881 Complete ultrasound of joint of arm or leg	56	54	$300.00	$111.41
77080 Dxa bone density measurement of hip, pelvis, spine	43	43	$110.00	$38.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	39	$175.00	$133.60
73610 X-ray of ankle, minimum of 3 views	33	21	$50.00	$28.82
20550 Injection into tendon or ligament	30	29	$95.00	$51.20
29824 Partial removal of collar bone at shoulder using an endoscope	29	29	$1100.00	$254.09
73552 X-ray of thigh bone, minimum 2 views	27	17	$50.00	$20.28
73100 X-ray of wrist, 2 views	26	11	$50.00	$25.71
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	25	24	$300.00	$57.68
23472 Prosthetic repair of shoulder joint, total shoulder	25	24	$3500.00	$1436.55
73521 X-ray of both hips, 2 views	21	20	$90.00	$37.09
73070 X-ray of elbow, 2 views	21	13	$45.00	$23.86
29827 Repair of shoulder rotator cuff using an endoscope	20	20	$2100.00	$1036.65
29826 Shaving of part of shoulder bone and repair of ligament using an endoscope	19	19	$1500.00	$175.55
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	18	15	$450.00	$85.47
27447 Replacement of knee joint, both sides of knee	18	18	$3500.00	$1338.41
29828 Release of shoulder biceps tendon using an endoscope	16	16	$1150.00	$577.05
76000 Imaging guidance for procedure, 60 minutes or less	14	14	$50.00	$8.65
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	14	14	$3500.00	$1178.09
23430 Anchoring of biceps tendon	13	13	$1300.00	$364.45
27506 Open treatment of broken thigh bone	13	13	$2450.00	$1317.46
29823 Removal of extensive shoulder joint tissue using an endoscope	11	11	$1600.00	$185.79

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MI 4301063377

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

430789310 (MI)

Commercial Insurance / Payer ID Physicians Health Plan

09200000 (MI)

Commercial Insurance / Payer ID Blue Care Network

P104949 (MI)

Commercial Insurance / Payer ID Medicare Dmerc

4179720001 (MI)

Commercial Insurance / Payer ID Aetna

7573234 (MI)

Commercial Insurance / Payer ID Blue Cross Blue Shield Mi

2003802132 (MI)

Hospital & Practice Group Affiliations

Portage Physician Practices Inc

500 Campus Dr, Hancock, MI 499301452

Phone: 9064831060

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Kabindra Mishra , MD

Orthopaedic Surgery

NPI 1528050721

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2019

Orthopaedic Surgery (License #4301063377 in MI)

📍

Updated Practice Location March 30, 2009

Registered at 956 COOPER ST, JACKSON, MI 492021847 (Tel: 5177873900)

📍

Updated Business Mailing Address March 30, 2009

Registered at 956 COOPER ST, JACKSON, MI 492021847 (Tel: 5177873900)

👤

Provider Name / Credentials Updated March 30, 2009

Recorded as ROBERT DOANE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2009

Specialist (License #63377 in MI)

🔄

NPI Profile Reactivated April 27, 2006

Record officially reactivated for active practice on April 27, 2006

⚠️

NPI Profile Deactivated April 10, 2006

Record deactivated on April 10, 2006

🟢

Initial NPI Registration & Enumeration August 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578555751

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 16, 2005

Last Update: August 30, 2019

Deactivation Date: April 10, 2006

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

956 Cooper St

Jackson, MI 492021847

Phone: 5177873900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.