Active NPI
Robert A Struble, MD
- Allergy & Immunology Physician
- Mansfield, OH
National Provider Identifier
1285737841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 35029304
- Practice address
- 1221 S Trimble Rd
A-1
Mansfield, OH 44907-2200 - Phone
- (419) 756-5566
- Fax
- (419) 756-2791
- NPI assigned
- Sep 7, 2006
- 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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 35029304 | OH | Primary |
Addresses
Primary practice location
1221 S Trimble Rd
A-1
Mansfield, OH 44907-2200
Mailing address
1221 Trimble S
A-1
Mansfield, OH 44907
Phone (419) 756-5566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0175662 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35029304 | OH | MD | Allergy & Immunology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290470400000",
"number": "1285737841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 TRIMBLE S",
"address_2": "A-1",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "44907",
"telephone_number": "419-756-5566",
"fax_number": "419-756-2791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 S TRIMBLE RD",
"address_2": "A-1",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449072200",
"telephone_number": "419-756-5566",
"fax_number": "419-756-2791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRUBLE",
"first_name": "ROBERT",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2010-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "OH",
"license": "35029304",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0175662",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.