DR. JOHN ROBERT RAABE MD, NPI 1689677726 — COLUMBUS (OH)

NPI 1689677726

14+ Years Experience Individual

DR. JOHN ROBERT RAABE MD

05/23/2005
PROVIDER ENUMERATION DATE
08/25/2017
LAST UPDATE DATE
1689677726
NPI NUMBER

About DR. JOHN ROBERT RAABE

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

DR. JOHN ROBERT RAABE is a provider established in COLUMBUS, OH. The NPI number of DR. JOHN ROBERT RAABE is 1689677726 and was assigned on 05/23/2005. The practitioners primary taxonomy code is: 207RC0000X with license number: 2002016482 MO .

Mailing address

  • City: COLUMBUS
  • State: OH
  • Postal code: 432213702
  • Phone: (614) 486-8035
  • Fax: 6144868068
  • Address: 1952 CHATFIELD RD

Primary Practice Address

  • Region : COLUMBUS, OH
  • NPI : 1689677726
  • Phone : 6142575595
  • Postalcode : 432191834
  • Address : 420 N JAMES RD

Additional identifiers

  • Identifier: 7932005
  • Code / Type : 1 - other
  • Identifier state : IL
  • Identifier issuer: BC/BS OF ILLINOIS

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Additional identifiers # 2

  • Identifier: 517213
  • Code / Type : 1 - other
  • Identifier state : MO
  • Identifier issuer : HEALTHLINK

Provider taxonomy - Internal Medicine

  • Taxonomy code: 207RC0000X
  • License number: 2002016482
  • License state: MO

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Contacts:

Click to Show Map
  • DR. JOHN ROBERT RAABE MD
  • Address : 420 N JAMES RD
  • Region : COLUMBUS, OH
  • NPI : 1689677726
  • Phone : 6142575595
  • Postalcode : 432191834

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address420 N JAMES RD
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameCOLUMBUS
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameOH
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code432191834
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number6142575595
The telephone number associated with the location address of the provider being identified.
NPI1689677726
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1207RC0000X
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Provider Enumeration Date05/23/2005
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated08/25/2017
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)DR. JOHN ROBERT RAABE
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address1952 CHATFIELD RD
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Business Mailing Address City NameCOLUMBUS
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameOH
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code432213702
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number(614) 486-8035
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number6144868068
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Healthcare Provider Taxonomy Code #1207RC0000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Provider License Number 12002016482
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1MO
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Other Provider Identifier 17932005
Other Provider Identifier #1
Other Provider Identifier Type 11
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 1IL
Other Provider Identifier State #1
Other Provider Identifier Issuer 1BC/BS OF ILLINOIS
Other Provider Identifier Issuer #1
Other Provider Identifier 2517213
Other Provider Identifier #2
Other Provider Identifier Type 21
  • 1 - Other
  • 5 - MEDICAID
Other Provider Identifier State 2MO
Other Provider Identifier State #2
Other Provider Identifier Issuer 2HEALTHLINK
Other Provider Identifier Issuer #2
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

Share this page?