Provider Demographics
NPI:1851397285
Name:SCHRIBER, ROBERT A (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:SCHRIBER
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 1:130 W 2ND ST
Mailing Address - Street 2:STE 1430
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45402-1502
Mailing Address - Country:US
Mailing Address - Phone:937-223-4012
Mailing Address - Fax:937-223-9792
Practice Address - Street 1:130 W 2ND ST
Practice Address - Street 2:STE 1430
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45402-1502
Practice Address - Country:US
Practice Address - Phone:937-223-4012
Practice Address - Fax:937-223-9792
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2007-12-19
Deactivation Date:2006-03-21
Deactivation Code:
Reactivation Date:2006-03-27
Provider Licenses
StateLicense IDTaxonomies
OH31889207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0364323Medicaid
OHSC0447771Medicare PIN
OHA77566Medicare UPIN
OH0364323Medicaid