Individual provider Active NPI

Robert J Navarre Jr., MD

  • Urology Physician
  • Toledo, OH
National Provider Identifier
1114922275
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
3548729 Issued in OH
Practice address
3500 Executive Pkwy
Toledo, OH 43606-1319
Phone
(419) 531-8558
Fax
(419) 578-5939
NPI assigned
Jun 16, 2005
Last updated
May 16, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 3548729 OH Primary

Addresses

Primary practice location

3500 Executive Pkwy
Toledo, OH 43606-1319

Mailing address

3500 Executive Pkwy
Toledo, OH 43606-1319
Phone (419) 531-8558

Other identifiers 2

IdentifierTypeStateIssuer
340011652OtherOHRAILROAD MEDICARE
0514965MedicaidOH

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3548729OHMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genito Urinary Surgeons, Inc. Urology Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Monroe Urology Associates PLLC Urology Past Accepting new patients

Locations

3500 Executive Pkwy
Toledo, OH 43606
Phone (419) 531-7860

Interoperability endpoints

  • Direct secure messaging: robert.navarre.1@21022.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1114922275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 EXECUTIVE PKWY",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061319",
            "telephone_number": "419-531-8558",
            "fax_number": "419-578-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 EXECUTIVE PKWY",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061319",
            "telephone_number": "419-531-8558",
            "fax_number": "419-578-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARRE",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "3548729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340011652",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0514965",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.