Provider Demographics
NPI:1205836640
Name:GORBY, ROBERT S (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:S
Last Name:GORBY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:530 SOUTH ST
Mailing Address - Street 2:SUITE 280
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2775
Mailing Address - Country:US
Mailing Address - Phone:724-832-1200
Mailing Address - Fax:724-830-8518
Practice Address - Street 1:530 SOUTH ST
Practice Address - Street 2:SUITE 280
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2775
Practice Address - Country:US
Practice Address - Phone:724-832-1200
Practice Address - Fax:724-830-8518
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-28
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD045968L207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015387160007Medicaid
PAG09703Medicare UPIN
PA0015387160007Medicaid