Provider Demographics
NPI:1154369338
Name:ANSCHUETZ, ROBERT H (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:H
Last Name:ANSCHUETZ
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 1:6770 MAYFIELD ROAD
Mailing Address - Street 2:SUITE 441
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124
Mailing Address - Country:US
Mailing Address - Phone:440-449-0788
Mailing Address - Fax:440-449-6884
Practice Address - Street 1:6770 MAYFIELD ROAD
Practice Address - Street 2:SUITE 441
Practice Address - City:MAYFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44124
Practice Address - Country:US
Practice Address - Phone:440-449-0788
Practice Address - Fax:440-449-6884
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH40880207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH40880OtherLICENSE
OH0433758Medicaid
A14987Medicare UPIN
OH40880OtherLICENSE