Provider Demographics
NPI:1457533622
Name:JAMES D. ROBINETTE, DPM, INC.
Entity Type:Organization
Organization Name:JAMES D. ROBINETTE, DPM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:ROBINETTE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:513-923-4650
Mailing Address - Street 1:5932 COLERAIN AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45239-6414
Mailing Address - Country:US
Mailing Address - Phone:513-923-4650
Mailing Address - Fax:413-741-5532
Practice Address - Street 1:5932 COLERAIN AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45239-6414
Practice Address - Country:US
Practice Address - Phone:513-923-4650
Practice Address - Fax:413-741-5532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-00-1395R213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0023996Medicaid
OH0023996Medicaid
OH5509130001Medicare NSC
OH0012831Medicare PIN