Provider Demographics
NPI:1063637999
Name:ROBERT F. DEBSKI, M.D., L.L.C.
Entity Type:Organization
Organization Name:ROBERT F. DEBSKI, M.D., L.L.C.
Other - Org Name:ROBERT F. DEBSKI, M.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:DEBSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-475-1674
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-04-8967D208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0521046Medicaid
OHDE0531493Medicare ID - Type Unspecified
OH0521046Medicaid