Provider Demographics
NPI:1205833035
Name:FIRPO, ROBERT STEPHEN (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:STEPHEN
Last Name:FIRPO
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 1:13826 SWISS LN
Mailing Address - Street 2:PO BOX 3729
Mailing Address - City:TRUCKEE
Mailing Address - State:CA
Mailing Address - Zip Code:96161-7117
Mailing Address - Country:US
Mailing Address - Phone:530-448-1297
Mailing Address - Fax:714-242-7070
Practice Address - Street 1:PRESBYTERIAN INTERCOMMUNITY HOSPITAL
Practice Address - Street 2:2401 WASHINGTON BLVD
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90602
Practice Address - Country:US
Practice Address - Phone:530-448-1297
Practice Address - Fax:714-242-7070
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC31123208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00195072OtherRAILROAD MEDICARE
P00195072OtherRAILROAD MEDICARE
C31123AMedicare ID - Type Unspecified