Active NPI
Robert Conway Duffer Jr., PA
- Physician Assistant
- Hartfield, VA
National Provider Identifier
1013944925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110840439
- Practice address
- 9891 General Puller Hwy
Hartfield, VA 23071-3122 - Phone
- (804) 776-9221
- Fax
- (804) 776-7537
- NPI assigned
- Jun 27, 2006
- Last updated
- May 11, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110840439 | VA | Primary |
Addresses
Primary practice location
9891 General Puller Hwy
Hartfield, VA 23071-3122
Mailing address
PO Box 1328
Kilmarnock, VA 22482-1328
Phone (804) 435-8570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesapeake Medical Group | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Reedville, VA
- NPI 1700100583
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431302400000",
"number": "1013944925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1328",
"city": "KILMARNOCK",
"state": "VA",
"postal_code": "224821328",
"telephone_number": "804-435-8570",
"fax_number": "804-435-8037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9891 GENERAL PULLER HWY",
"city": "HARTFIELD",
"state": "VA",
"postal_code": "230713122",
"telephone_number": "804-776-9221",
"fax_number": "804-776-7537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFFER",
"first_name": "ROBERT",
"middle_name": "CONWAY",
"name_suffix": "Jr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2015-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110840439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartfield, VA
- Rachel Ann Boles
- Alethea Michelle Butler, NURSE PRACTIONER
- Chesapeake Hospital LLC (Bon Secours Hartfield Medical Center)
- Chesapeake Hospital LLC (Bon Secours Hartfield Medical Center)
- Chesapeake Medical Group, Inc
- Karen Elizabeth Durniak, P.T.
- Ann Frances Easton, P.T.
- Paul Francis Fairbrother, M.D.
- Susan Horne, LPC
- Peter Liljeberg, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.