Provider Demographics
NPI:1932204013
Name:BAIR, ROBERT THOMPSON JR (DPM)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:THOMPSON
Last Name:BAIR
Suffix:JR
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2621 SHAKER RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-4203
Mailing Address - Country:US
Mailing Address - Phone:216-371-6390
Mailing Address - Fax:
Practice Address - Street 1:2621 SHAKER RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-4203
Practice Address - Country:US
Practice Address - Phone:216-371-6390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36001801B213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AB9771242OtherDEA
T96106Medicare UPIN
0339048Medicare ID - Type Unspecified