Provider Demographics
NPI:1275539090
Name:ROBY, JAMES G (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:G
Last Name:ROBY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:745 HASKINS RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-1600
Mailing Address - Country:US
Mailing Address - Phone:419-353-7069
Mailing Address - Fax:419-353-7076
Practice Address - Street 1:209 BRIAR HILL RD
Practice Address - Street 2:SUITE A
Practice Address - City:NORTH BALTIMORE
Practice Address - State:OH
Practice Address - Zip Code:45872-9349
Practice Address - Country:US
Practice Address - Phone:419-257-1417
Practice Address - Fax:419-257-7408
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2016-05-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35056181207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH344428256OtherOHIO HEALTH CARE
OH4487343OtherAETNA
OHPH00157916OtherNATIONWIDE
OH142211OtherCARE CHOICES
MI20076OtherHPM HEALTH PLAN OF MI
OH2331542Medicaid
OH000000213516OtherANTHEM MEDICAID
OH01513OtherPARAMOUNT
CA344428256OtherBEECH STREET
OH000000231516OtherANTHEM-COMMERICAL
OH344428256076OtherCARESOURCES
MI4427891Medicaid
OH142211OtherPRIORITY HEALTH
OH344428256OtherEMERALD
OH7073182005OtherCIGNA
OH4487343OtherAETNA
OH000000231516OtherANTHEM-COMMERICAL
OHPH00157916OtherNATIONWIDE
OH142211OtherPRIORITY HEALTH