Healthcare Provider Details

I. General information

NPI: 1265435390
Provider Name (Legal Business Name): ROBERT JOSEPH STEPHENS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 10/28/2020
Certification Date: 10/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5885 HARRISON AVE SUITE 3100
CINCINNATI OH
45248-1691
US

IV. Provider business mailing address

2060 READING RD SUITE 150
CINCINNATI OH
45202-1454
US

V. Phone/Fax

Practice location:
  • Phone: 513-922-6666
  • Fax: 513-922-1812
Mailing address:
  • Phone: 513-721-3200
  • Fax: 513-639-3186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35.045357
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: