Provider Demographics
NPI:1548235559
Name:GAYLOR, ROBERT E (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:E
Last Name:GAYLOR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:999 BRUBAKER DR
Mailing Address - Street 2:DIGESTIVE SPECIALISTS INC
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45429-3588
Mailing Address - Country:US
Mailing Address - Phone:937-534-7330
Mailing Address - Fax:937-395-3682
Practice Address - Street 1:999 BRUBAKER DR
Practice Address - Street 2:999 BRUBAKER DR
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-3588
Practice Address - Country:US
Practice Address - Phone:937-534-7330
Practice Address - Fax:937-395-3682
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2014-01-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35044972207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0513662Medicaid
OH0513662Medicaid
OH0540862Medicare PIN