Provider Demographics
NPI:1053312660
Name:DEBSKI, ROBERT F (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:F
Last Name:DEBSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 5TH ST NE
Mailing Address - Street 2:SUITE 8
Mailing Address - City:BARBERTON
Mailing Address - State:OH
Mailing Address - Zip Code:44203-3017
Mailing Address - Country:US
Mailing Address - Phone:330-475-1674
Mailing Address - Fax:330-475-1617
Practice Address - Street 1:201 5TH ST NE
Practice Address - Street 2:SUITE 8
Practice Address - City:BARBERTON
Practice Address - State:OH
Practice Address - Zip Code:44203-3017
Practice Address - Country:US
Practice Address - Phone:330-475-1674
Practice Address - Fax:330-475-1617
Is Sole Proprietor?:No
Enumeration Date:2005-08-04
Last Update Date:2011-04-25
Deactivation Date:2006-03-22
Deactivation Code:
Reactivation Date:2006-03-27
Provider Licenses
StateLicense IDTaxonomies
OH35-04-8967D174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0521046Medicaid
OHDE0531493Medicare ID - Type Unspecified
OH0521046Medicaid