Active NPI
Robert Ingram Sprague, MD
- Anatomic Pathology & Clinical Pathology Physician
- Mechanicsville, VA
National Provider Identifier
1497749493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 0101039458
- Practice address
- 8260 Atlee Rd
Mechanicsville, VA 23116-1844 - Phone
- (804) 764-6873
- NPI assigned
- Sep 6, 2005
- Last updated
- Aug 1, 2011
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 0101039458 | VA | Primary |
Addresses
Primary practice location
8260 Atlee Rd
Mechanicsville, VA 23116-1844
Mailing address
PO Box 5468
Martinsville, VA 24115-5468
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010159806 | Medicaid | VA | |
| 217816 | Other | VA | ANTHEM-ATLEE RD. |
| 220020618 | Other | RAILROAD MEDICARE | |
| 217817 | Other | VA | ANTHEM-BREMO RD. |
| 010159784 | Medicaid | VA | |
| 181673 | Other | VA | ANTHEM-CENTERPOINT RD. |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312156800000",
"number": "1497749493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5468",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241155468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8260 ATLEE RD",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231161844",
"telephone_number": "804-764-6873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRAGUE",
"first_name": "ROBERT",
"middle_name": "INGRAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-06",
"last_updated": "2011-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "VA",
"license": "0101039458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010159806",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM-ATLEE RD.",
"identifier": "217816",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "220020618",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM-BREMO RD.",
"identifier": "217817",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010159784",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM-CENTERPOINT RD.",
"identifier": "181673",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.