Robert F Ladove, MD
General Practice in O Fallon, IL. Individual provider (NPI-1).
NPI number1811076052
StatusActive
Last updated in NPPESJan 10, 2008
Details
- NPI
- 1811076052
- Entity type
- Individual (NPI-1)
- Name
- Mr. Robert F Ladove
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 6, 2006
- Last updated
- Jan 10, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 036059589 | IL | Yes |
Practice location
916 Talon DrSuite 102
O Fallon, IL 62269-1848
Phone 618-628-8211 · Fax 618-628-0883
Mailing address
916 Talon DrSuite 102
O Fallon, IL 62269-1848
Phone 618-628-8211 · Fax 618-628-0883
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 13 General Practice Physician providers in O Fallon · All 1,289 providers in O Fallon
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