Provider Demographics
NPI:1881919744
Name:LARKE, ROBERT JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JAMES
Last Name:LARKE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2000 JOSEPH E SANKER BLVD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-1979
Mailing Address - Country:US
Mailing Address - Phone:513-841-7400
Mailing Address - Fax:513-841-7402
Practice Address - Street 1:350 THOMAS MORE PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:CRESTVIEW HILLS
Practice Address - State:KY
Practice Address - Zip Code:41017-5465
Practice Address - Country:US
Practice Address - Phone:859-363-2200
Practice Address - Fax:859-363-2201
Is Sole Proprietor?:No
Enumeration Date:2010-04-05
Last Update Date:2016-07-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY49310208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1114950026Medicare NSC
KY1114950001Medicare NSC