Provider Demographics
NPI:1114920485
Name:HUNTER, ROBERT L (DO)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:L
Last Name:HUNTER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2912 SPRINGBORO W
Mailing Address - Street 2:STE 201
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45439-1674
Mailing Address - Country:US
Mailing Address - Phone:937-297-8999
Mailing Address - Fax:937-237-6179
Practice Address - Street 1:8701 OLD TROY PIKE
Practice Address - Street 2:STE 20
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-1066
Practice Address - Country:US
Practice Address - Phone:937-233-7146
Practice Address - Fax:937-237-6179
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2019-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34006926H207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000290749OtherANTHEM
OH000000291736OtherBCBS
OH2116347Medicaid
OHP00047034OtherRAILROAD MEDICARE
OH421534506089OtherCARESOURCE
OH000000032022OtherBCBS
OH34006926OtherMEDICAL LICENSE
OH69556OtherNATIONWIDE
OH2502985OtherAETNA
OH000000290749OtherUNICARE
P00275006OtherRR MCR
OH000000290749OtherANTHEM
OH000000032022OtherBCBS
OHP00047034OtherRAILROAD MEDICARE
OHHU0873678Medicare PIN