Provider Demographics
NPI:1679900666
Name:ROBEY PLASTIC SURGERY
Entity Type:Organization
Organization Name:ROBEY PLASTIC SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:BROOKE
Authorized Official - Last Name:ROBEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-721-7110
Mailing Address - Street 1:12760 MEETING HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-7292
Mailing Address - Country:US
Mailing Address - Phone:317-721-7110
Mailing Address - Fax:317-202-1757
Practice Address - Street 1:12760 MEETING HOUSE RD
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-7292
Practice Address - Country:US
Practice Address - Phone:317-721-7110
Practice Address - Fax:317-202-1757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-04
Last Update Date:2020-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01072094A207Y00000X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1386764579OtherINDIVIDUAL TYPE I NPI
IN01072094AOtherINDIANA MEDICAL LICENSE