Provider Demographics
NPI:1326082736
Name:ESTES, ROBIN (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:
Last Name:ESTES
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 1:10496 MONTGOMERY RD
Mailing Address - Street 2:#110
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-5223
Mailing Address - Country:US
Mailing Address - Phone:513-791-7572
Mailing Address - Fax:513-791-8420
Practice Address - Street 1:10496 MONTGOMERY RD
Practice Address - Street 2:#110
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-5223
Practice Address - Country:US
Practice Address - Phone:513-791-7572
Practice Address - Fax:513-791-8420
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-048969207RN0300X
KY22783207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64782876Medicaid
OH0518489Medicaid
IN200070140Medicaid
C02515Medicare UPIN
KY64782876Medicaid
IN200070140Medicaid