Provider Demographics
NPI:1134169352
Name:ROBBE, STEVEN (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:ROBBE
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 1:1525 E STROOP RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45429-5065
Mailing Address - Country:US
Mailing Address - Phone:937-208-7400
Mailing Address - Fax:937-208-7405
Practice Address - Street 1:1525 E STROOP RD
Practice Address - Street 2:SUITE 200
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-5065
Practice Address - Country:US
Practice Address - Phone:937-208-7400
Practice Address - Fax:937-208-7405
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35055804R207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0687538Medicaid
OH0631902Medicare PIN
OH0631903Medicare PIN
OH0687538Medicaid