Provider Demographics
NPI:1275506545
Name:NAPLES, ROBERT F (DO)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:F
Last Name:NAPLES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2249 ELM RD NE
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44410-9333
Mailing Address - Country:US
Mailing Address - Phone:330-372-1608
Mailing Address - Fax:330-372-1638
Practice Address - Street 1:2249 ELM RD NE
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:OH
Practice Address - Zip Code:44410-9333
Practice Address - Country:US
Practice Address - Phone:330-372-1608
Practice Address - Fax:330-372-1638
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-08
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34003678207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000132574OtherANTHEM
OH0580974Medicaid
0012301OtherCHAMPUS
A15739Medicare UPIN
OH0580974Medicaid