Robert J. Obermeyer
Pediatric Surgery
601 Childrens Ln
Norfolk
, Virginia 23507-1910
Robert J. Obermeyer
Pediatric Surgery
601 Childrens Ln
Norfolk
, Virginia 23507-1910
(757) 668-8860
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Robert J. Obermeyer
- Po Box 741593 Childrens Surgical Specialty Group Inc
- Atlanta, GA
- Zip : 30374-1593
- Fax : (757) 668-8860
- Phone : (757) 668-7703
Second Address
- Robert J. Obermeyer
- 601 Childrens Ln
- Norfolk, VA
- Zip : 23507-1910
- Fax : (757) 668-8860
- Phone : (757) 668-7703
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | 0101237656 | VA |
National Provider Identifier
| NPI | 1104832542 |
|---|---|
| Provider Name | Robert J. Obermeyer |
| First Address | Atlanta, GA 30374-1593 |
| Second Address | Norfolk, VA 23507-1910 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/07/2006 |
| Last Update Date | 17/12/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 010151660 | (05) | VA |
| 179040 | ANTHEM BCBS (01) | VA |
| 2137379 | ALLIANCE/MDIPA (01) | VA |
| 2137379 | MAMSI/OPTIMUM CHOICE (01) | VA |
| 3116108340000E | CIGNA (01) | VA |
| 5900564 | (05) | NC |
| 5900564 | NORTH CAROLINA MEDICAID (01) | VA |
| 95794 | OPTIMA/SENTARA HEALTH (01) | VA |
| H71550 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.