Organization Active NPI

Robert Winfield Klink

  • Gynecology Physician
  • Gloucester, VA
National Provider Identifier
1265626683
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
0101026446 Issued in VA
Legal business name
ROBERT WINFIELD KLINK
Doing business as
Gloucester Women's Clinic
Practice address
7685 Meredith Dr
Gloucester, VA 23061-4151
Phone
(804) 693-4410
Fax
(804) 693-0925
NPI assigned
Aug 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert W Klink, MD
Title
Owner
Phone
(804) 693-4410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 0101026446 VA Primary

Addresses

Primary practice location

7685 Meredith Dr
Gloucester, VA 23061-4151

Mailing address

PO Box 2148
Gloucester, VA 23061-2148
Phone (804) 693-4410

Other identifiers 1

IdentifierTypeStateIssuer
006288073MedicaidVA

Other names 1

  • Gloucester Women's Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347840000000",
    "number": "1265626683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2148",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230612148",
            "telephone_number": "804-693-4410",
            "fax_number": "804-693-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7685 MEREDITH DR",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230614151",
            "telephone_number": "804-693-4410",
            "fax_number": "804-693-0925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT WINFIELD KLINK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2012-09-17",
        "status": "A",
        "authorized_official_last_name": "KLINK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-693-4410",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "VA",
            "license": "0101026446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006288073",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gloucester Women's Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gloucester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.