Theodore Douglas Chrobak, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34006156C Issued in OH

Practice address

332 W 6TH St
East Liverpool, OH 43920-2812

Phone

(330) 386-6339

Fax

(330) 386-1224

NPI assigned

Jan 6, 2006

Last updated

Sep 22, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Preventive Medicine

Education

Philadelphia College of Osteopathic Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• East Liverpool City Hospital Hospital, East Liverpool, OH, CCN 360096
• Heritage Valley Beaver Hospital, Beaver, PA, CCN 390036
• Salem Regional Medical Center Hospital, Salem, OH, CCN 360185
• Weirton Medical Center, Inc Hospital, Weirton, WV, CCN 510023

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dr.tchrobak@25266392.micromddirect.com

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.

• Chrobak LLC

  dba Doctors on Call

  • Family Medicine Physician
  • East Liverpool, OH
  • NPI 1114904091
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Salem Community Hospital

  dba Salem Regional Medical Center

  • General Acute Care Hospital
  • Salem, OH
  • NPI 1639131535
  Care Compare affiliation
• Salem Community Hospital

  dba SRMC Ancillary Services

  • Radiology Clinic/Center
  • Calcutta, OH
  • NPI 1750227377

  Hospital

  Care Compare affiliation
• The City Hospital Association

  dba East Liverpool City Hospital

  • General Acute Care Hospital
  • East Liverpool, OH
  • NPI 1659375673
  Care Compare affiliation
• Valley Medical Facilities Inc

  dba Valley Medical Facilities Inc dba Heritage Valley Beaver

  • General Acute Care Hospital
  • Beaver, PA
  • NPI 1063422053
  Care Compare affiliation
• Valley Medical Facilities, Inc.

  dba The Medical Center, Beaver, Family Practice Center

  • General Acute Care Hospital
  • Beaver Falls, PA
  • NPI 1306989983
  Care Compare affiliation
• Valley Medical Facilities, Inc.

  dba Sewickley Valley Hospital, Staunton Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sewickley, PA
  • NPI 1528101458

  Hospital

  Care Compare affiliation
• Weirton Medical Center, Inc

  dba Weirton Medial Center

  • General Acute Care Hospital
  • Weirton, WV
  • NPI 1619921947
  Care Compare affiliation

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222041600000",
    "number": "1245218478",
    "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 6TH ST",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439202812",
            "telephone_number": "330-386-6339",
            "fax_number": "330-386-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHROBAK",
        "first_name": "THEODORE",
        "middle_name": "DOUGLAS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2008-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34006156C",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "05008296L",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "OH",
            "license": "34006156C",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "PA",
            "license": "05008296L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080192335",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2080555",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madisyn Carter, LPC
• Roben Lee Carter Sr., LISW
• Catholic Charities Regional Agency
• Anthony R. Cesario, FNP
• Chrobak LLC (Doctors on Call)
• Chucks Home Care Agency LLC
• Jeffrey Aric Ciotti
• City of East Liverpool
• Moira Cleary, OT
• Taylor Coblentz, PA

• 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 Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.