=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538178587
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ROBERT F SCHEIBLE MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/07/2006
-----------------------------------------------------
Last Update Date | 03/18/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 55 WESTPORT PLZ SUITE 300
-----------------------------------------------------
City | SAINT LOUIS
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63146-3109
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 314-548-4772
-----------------------------------------------------
Fax | 314-548-4748
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 55 WESTPORT PLZ SUITE 300
-----------------------------------------------------
City | SAINT LOUIS
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63146-3109
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 314-548-4772
-----------------------------------------------------
Fax | 314-548-4748
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2085R0202X
-----------------------------------------------------
Taxonomy Name | Diagnostic Radiology Physician
-----------------------------------------------------
License Number | R5094
-----------------------------------------------------
License Number State | MO
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 2085R0202X
-----------------------------------------------------
Taxonomy Name | Diagnostic Radiology Physician
-----------------------------------------------------
License Number | 036114455
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------