Individual provider Active NPI

Robert Keith Lather, MD

  • Emergency Medicine Physician
  • Ft Lee, VA
National Provider Identifier
1689653396
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
L0101051489 Issued in VA
Practice address
Kenner Army Health Clinic
Primary Care Division
Ft Lee, VA 23801
Phone
(804) 734-9251
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X L0101051489 VA Primary
Emergency Medicine Physician 207P00000X 116287 NC

Addresses

Primary practice location

Kenner Army Health Clinic
Primary Care Division
Ft Lee, VA 23801

Mailing address

12701 Chesdin Landing Dr
Chesterfield, VA 23838-3232
Phone (804) 590-1638

Other identifiers 3

IdentifierTypeStateIssuer
005867894MedicaidVA
1689653396MedicaidVA
005867886MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161228002018 TX Practitioner - Emergency Medicine 7113946724 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
116287NCMDEmergency Medicine Physician
L0101051489VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laredo Emergency Medicine Associates PA Emergency Medicine CurrentSince Apr 11, 2017 Accepting new patients
Columbia Healthcare of Central Virginia Inc PastSince Apr 1, 2019 Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients
Emergency Physicians of Southern Virginia LLP Emergency Medicine Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients
Danville Emergency Physicians, PC Emergency Medicine Past Accepting new patients
Emergency Coverage, LLC Emergency Medicine Past Accepting new patients

Locations

1700 E Saunders St
Laredo, TX 78041
Phone (956) 206-6971

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1689653396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12701 CHESDIN LANDING DR",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238383232",
            "telephone_number": "804-590-1638",
            "fax_number": "757-314-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KENNER ARMY HEALTH CLINIC",
            "address_2": "PRIMARY CARE DIVISION",
            "city": "FT LEE",
            "state": "VA",
            "postal_code": "23801",
            "telephone_number": "804-734-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATHER",
        "first_name": "ROBERT",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "L0101051489",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "116287",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005867894",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689653396",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005867886",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lee, VA

Sources for this page

Verify at the official NPI Registry.