Basic Information
Provider Information
NPI: 1891769667
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: OEHLER
FirstName: ROBERT
MiddleName: C
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2723 S 7TH ST
Address2: SUITE A
City: TERRE HAUTE
State: IN
PostalCode: 478023558
CountryCode: US
TelephoneNumber: 8122381730
FaxNumber: 8122421565
Practice Location
Address1: 725 FOREST AVENUE
Address2:  
City: BRAZIL
State: IN
PostalCode: 47834
CountryCode: US
TelephoneNumber: 8124481360
FaxNumber: 8124482708
Other Information
ProviderEnumerationDate: 02/16/2006
LastUpdateDate: 06/19/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000X01020499AINN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207R00000X01020499AINY Allopathic & Osteopathic PhysiciansInternal Medicine 

ID Information
IDTypeStateIssuerDescription
10036980005IN MEDICAID
11022679401INRAILROAD MEDICAREOTHER


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