Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 2014004824 | MO |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 0101258157 | VA |
NPI | 1225272396 |
---|---|
Provider Name | Dr. Benjamin Ray Coobs |
First Address | Roanoke, VA 24014-1111 |
Second Address | Roanoke, VA 24014-1111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2009 |
Last Update Date | 10/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1225272396 | AETNA (01) | VA |
1225272396 | ANTHEM BCBS (01) | VA |
1225272396 | CIGNA (01) | VA |
1225272396 | GATEWAY (01) | VA |
1225272396 | HEALTHKEEPERS (01) | VA |
1225272396 | HEALTHKEEPERS PLUS (01) | VA |
1225272396 | HUMANA MEDICARE (01) | VA |
1225272396 | INTOTAL (01) | VA |
1225272396 | MEDICAID (01) | VA |
1225272396 | MEDICAID OF WVA (01) | VA |
1225272396 | OPTIMA HEALTH PLAN (01) | VA |
1225272396 | SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY (01) | VA |
1225272396 | UMWA (01) | VA |
1225272396 | UNITED HEALTHCARE (01) | VA |
1225272396 | VIRGINIA HEALTH NETWORK (01) | VA |
1225272396 | VIRGINIA PREMIER (01) | VA |
540506332199 | TRICARE (01) | VA |
P01571876 | RAILROAD MEDICARE (01) | VA |