Active NPI
Robert James Trutko
- Driver
- Lakewood, OH
National Provider Identifier
1053100180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- SR614813
- Practice address
- 1471 Marlowe Ave
Lakewood, OH 44107-4318 - Phone
- (440) 990-4250
- NPI assigned
- May 5, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | SR614813 | OH | Primary |
Addresses
Primary practice location
1471 Marlowe Ave
Lakewood, OH 44107-4318
Mailing address
1471 Marlowe Ave
Lakewood, OH 44107-4318
Phone (440) 990-4250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SR614813 | OH | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1053100180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1471 MARLOWE AVE",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441074318",
"telephone_number": "440-990-4250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1471 MARLOWE AVE",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441074318",
"telephone_number": "440-990-4250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUTKO",
"first_name": "ROBERT",
"middle_name": "JAMES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-05",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "OH",
"license": "SR614813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.