Provider Demographics
NPI:1891958187
Name:ROBERT F. SCHWARZE, P.C.
Entity Type:Organization
Organization Name:ROBERT F. SCHWARZE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:SCHWARZE
Authorized Official - Suffix:
Authorized Official - Credentials:D O
Authorized Official - Phone:314-831-2470
Mailing Address - Street 1:1224 GRAHAM RD
Mailing Address - Street 2:BUILDING 2, SUITE 1110
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63031-8028
Mailing Address - Country:US
Mailing Address - Phone:314-831-2470
Mailing Address - Fax:314-831-9301
Practice Address - Street 1:1224 GRAHAM RD
Practice Address - Street 2:BUILDING 2, SUITE 1110
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-8028
Practice Address - Country:US
Practice Address - Phone:314-831-2470
Practice Address - Fax:314-831-9301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR9B32261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOE22291Medicare UPIN
MO000002809Medicare PIN
MO000001455Medicare PIN