Individual
DR. KEITH M TOBIN
Active
Individual
DR. KEITH M TOBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5101010694
MI
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
5101010694
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4082200
—
MI
01
—
5101010694
STATE LICENSE NUMBER
MI
01
—
5820442
BCBS PROVIDER ID
MI
01
—
993699
AETNA PROVIDER ID
MI
01
—
C4002
MCARE PROVIDER ID
MI
01
—
F05096
HAP PROVIDER ID
MI
01
—
P86747
BCN PROVIDER ID
MI
Enumeration date
06/30/2005
Last updated
09/11/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up