Provider Demographics
NPI:1255515813
Name:ROBERT A SCHRIBER MD INC
Entity type:Organization
Organization Name:ROBERT A SCHRIBER MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHRIBER
Authorized Official - Suffix:
Authorized Official - Credentials:MC
Authorized Official - Phone:937-223-4012
Mailing Address - Street 1:130 W 2ND ST
Mailing Address - Street 2:SUITE 1430
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45402-1500
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:SUITE 1430
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45402-1500
Practice Address - Country:US
Practice Address - Phone:937-223-4012
Practice Address - Fax:937-223-9792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH31889207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0364323Medicaid
OH0364323Medicaid
SC0447771Medicare PIN
OHA77566Medicare UPIN