Provider Demographics
NPI:1073577755
Name:MAY, ROBERT K (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:K
Last Name:MAY
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 1:648 TAYLOR RD
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-3202
Mailing Address - Country:US
Mailing Address - Phone:614-864-7225
Mailing Address - Fax:614-626-8335
Practice Address - Street 1:648 TAYLOR RD
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-3202
Practice Address - Country:US
Practice Address - Phone:614-864-7225
Practice Address - Fax:614-626-8335
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-12
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-041632207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0394425Medicaid
OHB95404Medicare UPIN
OH0443077Medicare PIN