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ROBERT SANTIAGO MD INC. NPI 1578731972


NPI Information

NPI: 1578731972
Provider Name: ROBERT SANTIAGO, MD, INC.
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
396 PORTLAND WAY N
GALION, OH
ZIP 44833
Phone: (419) 462-5543
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ROBERT SANTIAGO, MD, INC. is a general practice in Galion, OH. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ROBERT SANTIAGO, MD, INC. NPI is 1578731972. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

396 PORTLAND WAY N
GALION, OH
ZIP 44833-115
Phone: (419) 462-5543
Fax: (419) 462-2058

The provider's authorized official is Dianne Santiago .
The authorized official title is Co-owner and has the following contact phone number (614) 431-8869.

The enumeration date for this NPI number is 2/19/2008 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice35-05-7517OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
135-05-7517OTHEROHIOOHIO MEDICAL LICENSE
2$$$$$$$$$OTHERSSN
30759362MEDICAIDOHIO
4107669OTHEROHIOWORKER'S COMP. EMPL. RISK
51720121213OTHERINDIVIDUAL (TYPE 1) NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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