Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Robert Gerard Idzakovich, FNP

Individual provider Family Nurse Practitioner · NPI 1275994048

Robert Gerard Idzakovich, FNP is a Nurse Practitioner in Portsmouth, Ohio. Graduated from University of Cincinnati College of Medicine in 2016, 10 years ago. Practices with Holzer Clinic LLC, a 264-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
10
Trained at
University of Cincinnati College of Medicine
Licensed in
OH
In the registry since
2016
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

2511 Grandview Ave
Portsmouth, OH 45662-2770
Phone: (740) 464-8125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN391062 (OH)

Record details

NPI number1275994048
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedMarch 8, 2016
Last updated in NPPESMarch 8, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Holzer Clinic Llc — 264 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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