Provider Demographics
NPI:1992894059
Name:SWEET, ROBERT (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:SWEET
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 1:1536 N 115TH ST STE 300
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-8400
Mailing Address - Country:US
Mailing Address - Phone:206-668-5215
Mailing Address - Fax:206-668-5214
Practice Address - Street 1:1536 N 115TH ST STE 300
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-8400
Practice Address - Country:US
Practice Address - Phone:206-668-5215
Practice Address - Fax:206-668-5214
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN48063208800000X
WA00042340208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN19-00704OtherMEDICA CHOICE
MN2378184OtherARAZ
MN238695000Medicaid
MN132997OtherUCARE
MN490K7SWOtherBCBS
MN19-00018OtherMEDICA PRIMARY
MNB670OtherCHAMPUS
HP54550OtherHEALTH PARTNERS
IA0599308Medicaid
MN850677OtherFAIRVIEW
H84775Medicare UPIN
HP54550OtherHEALTH PARTNERS
MN2378184OtherARAZ
MN238695000Medicaid