Healthcare Provider Details

I. General information

NPI: 1295769560
Provider Name (Legal Business Name): JOHN R. ROBINSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 07/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

375 DIXMYTH AVENUE
CINCINNATI OH
45220-2475
US

IV. Provider business mailing address

P.O. BOX 631914
CINCINNATI OH
45263-1914
US

V. Phone/Fax

Practice location:
  • Phone: 513-862-2601
  • Fax: 513-862-1190
Mailing address:
  • Phone: 513-862-2601
  • Fax: 513-862-1190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number35057778R
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number26286
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberR3552
License Number StateAR
# 4
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberF1943
License Number StateTX
# 5
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number35057778R
License Number StateOH
# 6
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number26286
License Number StateKY
# 7
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberR3552
License Number StateAR
# 8
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberF1943
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: