Healthcare Provider Details

I. General information

NPI: 1699608398
Provider Name (Legal Business Name): ROBERT CAULTON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3330 WOODBURN AVE APT 203
CINCINNATI OH
45207-0071
US

IV. Provider business mailing address

3330 WOODBURN AVE APT 203
CINCINNATI OH
45207-0071
US

V. Phone/Fax

Practice location:
  • Phone: 513-407-1027
  • Fax:
Mailing address:
  • Phone: 513-407-1027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberPRS.007921
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: