Organization Active NPI

Cheryl J. Robinson, M.D., LLC

  • Family Medicine Physician
  • Dayton, OH
National Provider Identifier
1194022608
Registry record updated Feb 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35049949 Issued in OH
Legal business name
CHERYL J. ROBINSON, M.D., LLC
Practice address
1 Elizabeth PL
Suite 115
Dayton, OH 45417-3445
Phone
(937) 723-2875
Fax
(937) 723-2878
NPI assigned
Feb 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2011

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

Authorized official

Name
Cheryl Jean Robinson, M.D.
Title
President
Phone
(937) 723-2875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35049949 OH Primary

Addresses

Primary practice location

1 Elizabeth PL
Suite 115
Dayton, OH 45417-3445

Mailing address

1 Elizabeth PL
Suite 115
Dayton, OH 45417-3445
Phone (937) 723-2875

Other identifiers 1

IdentifierTypeStateIssuer
0535835MedicaidOH

National Provider Directory

National Provider Directory

Locations

1 Elizabeth Pl
Ste 115
Dayton, OH 45417
Phone (937) 620-2440

1 Elizabeth Pl
#115
Dayton, OH 45417
Phone (937) 222-3544

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1194022608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ELIZABETH PL",
            "address_2": "SUITE 115",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173445",
            "telephone_number": "937-723-2875",
            "fax_number": "937-723-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELIZABETH PL",
            "address_2": "SUITE 115",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173445",
            "telephone_number": "937-723-2875",
            "fax_number": "937-723-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERYL J. ROBINSON, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-723-2875",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35049949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0535835",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.