Provider Demographics
NPI:1184621179
Name:STRICKMEYER, ROBERT JERON (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JERON
Last Name:STRICKMEYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 635283
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-5283
Mailing Address - Country:US
Mailing Address - Phone:859-525-0005
Mailing Address - Fax:859-525-8806
Practice Address - Street 1:7388 TURFWAY RD
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-1381
Practice Address - Country:US
Practice Address - Phone:859-287-3045
Practice Address - Fax:859-525-8806
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-06-5715-S207RC0000X
KY31090207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY00954004OtherMEDICARE PTAN
KY0369009OtherMEDICARE
KY0369205OtherMEDICARE
060049888OtherRAILROAD MEDICARE
IN200294800Medicaid
OH2115213Medicaid
KY50024710OtherPASSPORT MEDICAID
KY64310907Medicaid
KYP0091236OtherRAILROAD MEDICARE
KY0562601OtherMEDICARE
KY0969496OtherMEDICARE PTAN
OH611300608055OtherCARESOURCE
OHP01118199OtherRR MEDICARE
OH0849011Medicare PIN
OH611300608055OtherCARESOURCE
KY0562601OtherMEDICARE
OH2115213Medicaid
OH0849012Medicare PIN
KY0369205Medicare PIN
KYP400019606Medicare PIN
G67004Medicare UPIN
060049888OtherRAILROAD MEDICARE