Active NPI
Robert D Betz, MD
- Obstetrics & Gynecology Physician
- Walla Walla, WA
National Provider Identifier
1164408951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD00023830
- Practice address
- 1111 S 2ND Ave
Walla Walla, WA 99362-4118 - Phone
- (509) 522-0100
- Fax
- (509) 527-8010
- NPI assigned
- Dec 22, 2005
- Last updated
- Mar 30, 2016
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD00023830 | WA | Primary |
Addresses
Primary practice location
1111 S 2ND Ave
Walla Walla, WA 99362-4118
Mailing address
1111 S 2ND Ave
Walla Walla, WA 99362-4118
Phone (509) 522-0100
Other names 1
- Dr. Robert Dean Betz
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Mountain Medical Goup, PLLC | Past | Accepting new patients | |
| Wwu Campus Health & Wellness | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Walla Walla, WA
- NPI 1154306884
-
- Student Health Clinic/Center
- College Place, WA
- NPI 1629048848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459296000000",
"number": "1164408951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 S 2ND AVE",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993624118",
"telephone_number": "509-522-0100",
"fax_number": "509-527-8010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 S 2ND AVE",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993624118",
"telephone_number": "509-522-0100",
"fax_number": "509-527-8010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETZ",
"first_name": "ROBERT",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2016-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD00023830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERT",
"last_name": "BETZ",
"middle_name": "DEAN",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.