Provider Demographics
NPI:1629055223
Name:KOSMIDES, ROBERT WILLIAM (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:WILLIAM
Last Name:KOSMIDES
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:7580 NORTHCLIFF AVE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:BROOKLYN
Mailing Address - State:OH
Mailing Address - Zip Code:44144-3270
Mailing Address - Country:US
Mailing Address - Phone:216-472-2741
Mailing Address - Fax:216-472-2740
Practice Address - Street 1:33001 SOLON RD
Practice Address - Street 2:SUITE 112
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-2839
Practice Address - Country:US
Practice Address - Phone:440-248-1297
Practice Address - Fax:440-349-7131
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2011-01-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH350604162084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHP00394363OtherRR MEDICARE
OH0969402Medicaid
OH4056053Medicare PIN
OHP00394363OtherRR MEDICARE