Provider Demographics
NPI:1265481972
Name:FLICK, ROBERT P (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:P
Last Name:FLICK
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 1:3301 MERCY HEALTH BLVD
Mailing Address - Street 2:STE 445
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-1106
Mailing Address - Country:US
Mailing Address - Phone:513-389-4095
Mailing Address - Fax:513-389-4096
Practice Address - Street 1:2859 BOUDINOT AVE
Practice Address - Street 2:MOB A, STE 207
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-1606
Practice Address - Country:US
Practice Address - Phone:513-389-4095
Practice Address - Fax:513-389-4096
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35070622F207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200278490Medicaid
OH2073303Medicaid
KY64339708Medicaid
KY0969453Medicare PIN
G82276Medicare UPIN
OH2073303Medicaid
IN200278490Medicaid
KY3316369Medicare PIN
KY64339708Medicaid
KY3396842Medicare PIN