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DR. ROBERT JOHN GRAESSLE DO NPI 1629274139


NPI Information

NPI: 1629274139
Provider Name: DR. ROBERT JOHN GRAESSLE, DO
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
815 W BROAD ST STE 200
COLUMBUS, OH
ZIP 43222
Phone: (614) 799-1906
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DR. Robert John Graessle, DO is an addiction medicine psychiatry neurology in Columbus, OH. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine DR. Robert John Graessle, DO NPI is 1629274139. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

815 W BROAD ST STE 200
COLUMBUS, OH
ZIP 43222-478
Phone: (614) 799-1906

The NPI 1629274139 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/22/2007 and was last updated on 11/14/2022.


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
1207P00000XEmergency Medicine34009785OHIONo
2207P00000XEmergency Medicine5101017440MICHIGANNo
32084P0800XPsychiatry & NeurologyPsychiatry34.009785OHIONo
42084A0401XPsychiatry & NeurologyAddiction Medicine34.009785OHIOYes

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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