Healthcare Provider Details

I. General information

NPI: 1528033743
Provider Name (Legal Business Name): ROBERT T SIMKINS D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 01/03/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7700 UNIVERSITY CT SUITE 3500
WEST CHESTER OH
45069-6542
US

IV. Provider business mailing address

3200 BURNET AVE 3 SOUTH
CINCINNATI OH
45229-3019
US

V. Phone/Fax

Practice location:
  • Phone: 513-475-8730
  • Fax: 513-475-8273
Mailing address:
  • Phone: 513-585-5503
  • Fax: 513-585-5511

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number34-00-6762-S
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: