Healthcare Provider Details

I. General information

NPI: 1649206731
Provider Name (Legal Business Name): ROBERT P HUMMEL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 11/29/2022
Certification Date: 11/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4030 SMITH ROAD SUITE 350
CINCINNATI OH
45209-1969
US

IV. Provider business mailing address

4030 SMITH ROAD SUITE 350
CINCINNATI OH
45209-1969
US

V. Phone/Fax

Practice location:
  • Phone: 513-791-4440
  • Fax: 513-985-6615
Mailing address:
  • Phone: 513-791-4440
  • Fax: 513-985-6615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number35534
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number35060709H
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: