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NPI Code Detail

MEDICARE: ROBERT DILLON WEBER MD

MEDICARE: ROBERT DILLON WEBER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician15822KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619976081
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT DILLON WEBER MD
Provider Business Mailing Address
First Line : PO BOX 635283
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-5283
Country : US
Telephone Number : 859-572-3366
Fax Number : 859-572-3568
Provider Business Practice Location Address
First Line : 85 N GRAND AVE
Second Line : ST ELIZABETH SAME DAY SURGERY
City : FORT THOMAS
State : KY
Zip : 41075-1793
Country : US
Telephone Number : 859-572-3100
Fax Number : 859-344-5553
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 09/13/2018

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