Active NPI
Robert Earle Noble, MD
- Pediatrics Physician
- Richmond, VA
National Provider Identifier
1245344910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101-038670
- Practice address
- 9900 Independence Park Dr
Suite 100
Richmond, VA 23233-1473 - Phone
- (804) 747-1855
- Fax
- (804) 762-8837
- NPI assigned
- Aug 18, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101-038670 | VA | Primary |
Addresses
Primary practice location
9900 Independence Park Dr
Suite 100
Richmond, VA 23233-1473
Mailing address
9900 Independence Park Dr
Suite 100
Richmond, VA 23233-1473
Phone (804) 747-1855
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0454321 | Other | CIGNA | |
| 179091 | Other | ANTHEM - HENRICO COUNTY | |
| 285230 | Other | SOUTHERN HEALTH | |
| 6714633 | Medicaid | VA | |
| 107377 | Other | ANTHEM - HANOVER COUNTY |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101-038670 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richmond Pediatric Associates, Inc. | Pediatrics | 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 and National Provider Directory roles.
-
- Pediatrics Physician
- Richmond, VA
- NPI 1689788390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245344910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 INDEPENDENCE PARK DR",
"address_2": "SUITE 100",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232331473",
"telephone_number": "804-747-1855",
"fax_number": "804-762-8837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 INDEPENDENCE PARK DR",
"address_2": "SUITE 100",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232331473",
"telephone_number": "804-747-1855",
"fax_number": "804-762-8837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBLE",
"first_name": "ROBERT",
"middle_name": "EARLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101-038670",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0454321",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM - HENRICO COUNTY",
"identifier": "179091",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "285230",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6714633",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM - HANOVER COUNTY",
"identifier": "107377",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.