Chrobak LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34006156C Issued in OH

Legal business name

CHROBAK LLC

Practice address

332 W Sixth St
East Liverpool, OH 43920-2812

Phone

(330) 386-6339

Fax

(330) 386-1224

NPI assigned

Dec 30, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marie Christine Chrobak, MS

Title

Managing Director

Phone

(330) 386-6339

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Doctors on Call Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theodore Douglas Chrobak, DO

  • Family Medicine Physician
  • East Liverpool, OH
  • NPI 1245218478
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1114904091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 856",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439205856",
            "telephone_number": "330-386-6339",
            "fax_number": "330-386-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 W SIXTH ST",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439202812",
            "telephone_number": "330-386-6339",
            "fax_number": "330-386-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHROBAK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "CHROBAK",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "330-386-6339",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34006156C",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "05008296L",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "OH",
            "license": "34006156C",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "PA",
            "license": "05008296L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2080555",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors on Call",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jerrett Lee Carroll, APS.004717
• Madisyn Carter, LPC
• Roben Lee Carter Sr., LISW
• Catholic Charities Regional Agency
• Anthony R. Cesario, FNP
• Theodore Douglas Chrobak, DO
• Chucks Home Care Agency LLC
• Jeffrey Aric Ciotti
• City of East Liverpool
• Moira Cleary, OT

• Family Medicine Physician in East Liverpool, OH
• Providers in East Liverpool, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.