Provider Demographics
NPI:1538178587
Name:SCHEIBLE, ROBERT F (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:F
Last Name:SCHEIBLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 WESTPORT PLZ
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63146-3109
Mailing Address - Country:US
Mailing Address - Phone:314-548-4772
Mailing Address - Fax:314-548-4748
Practice Address - Street 1:55 WESTPORT PLZ
Practice Address - Street 2:SUITE 300
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63146-3109
Practice Address - Country:US
Practice Address - Phone:314-548-4772
Practice Address - Fax:314-548-4748
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR50942085R0202X
IL0361144552085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1390OtherBLUE
1650513OtherPH PLAN
IL0090000352OtherBLUE
2781OtherGHP
398020OtherHLT PART
5088OtherHCARE USA
26695OtherBLUE CHOICE
200476406OtherMC MCAID
300057201OtherRR CARE
101319OtherH LINK
431725842MIDOtherMERCY
A12512OtherGATE WAY
MO200476406Medicaid
300066921OtherRR CARE
MO007012444Medicare ID - Type Unspecified
A12512OtherGATE WAY
007012444Medicare ID - Type Unspecified
MO007012444Medicare PIN
398020OtherHLT PART