Robert A Cicuto, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS002959L Issued in PA

Practice address

2213 Shenango Valley Freeway
Hermitage, PA 16148

Phone

(724) 346-1234

Fax

(724) 346-4033

NPI assigned

Apr 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1689639676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 SHENANGO VALLEY FREEWAY",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "16148",
            "telephone_number": "724-346-1234",
            "fax_number": "724-346-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 SHENANGO VALLEY FREEWAY",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "16148",
            "telephone_number": "724-346-1234",
            "fax_number": "724-346-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICUTO",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS002959L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000643889001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0658855",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Childen's Community Care (Children's Community Pediatrics)
• Chiropractic and Wellness Works,LLC
• Jamie Marie Chlpka, CRNP
• Lindsey Chludzinski, DPT
• Christopher J. Nagle, D.P.M., P.C.
• Jamie Linn Cidila, M.S.P.T.
• Edward Charles Clapper
• Leroy S. Clark, PT
• Mary Clark
• Kimberly McCaskey Clarke, LCSW

• Family Medicine Physician in Hermitage, PA
• Providers in Hermitage, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.