Provider Demographics
NPI:1942264882
Name:ROBINSON, CHERYL J (MD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:J
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 ELIZABETH PL
Mailing Address - Street 2:SUITE 115
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45417-3445
Mailing Address - Country:US
Mailing Address - Phone:937-723-2875
Mailing Address - Fax:937-723-2878
Practice Address - Street 1:1 ELIZABETH PL
Practice Address - Street 2:SUITE 115
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45417-3445
Practice Address - Country:US
Practice Address - Phone:937-723-2875
Practice Address - Fax:937-723-2878
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-17
Last Update Date:2013-01-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35.049949207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0535835Medicaid
P00122152Medicare PIN
OHF03212Medicare UPIN
OH0535835Medicaid