Basic Information
Provider Information
NPI: 1386857472
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: JUMP
FirstName: ROBIN
MiddleName: L.P.
NamePrefix: DR.
NameSuffix:  
Credential: MD, PHD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 22614 BARD AVE
Address2:  
City: FAIRVIEW PARK
State: OH
PostalCode: 441262909
CountryCode: US
TelephoneNumber: 4407342027
FaxNumber:  
Practice Location
Address1: 11100 EUCLID AVE
Address2: DIVISION OF INFECTIOUS DISEASE
City: CLEVELAND
State: OH
PostalCode: 441061716
CountryCode: US
TelephoneNumber: 2168441000
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/07/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200X57.008504OHY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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