Active NPI
Robert Keith Lather, MD
- Emergency Medicine Physician
- Ft Lee, VA
National Provider Identifier
1689653396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- L0101051489
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005867894 | Medicaid | VA | |
| 1689653396 | Medicaid | VA | |
| 005867886 | Medicaid | VA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116287 | NC | MD | Emergency Medicine Physician |
| L0101051489 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laredo Emergency Medicine Associates PA | Emergency Medicine | Current | Accepting new patients |
| Columbia Healthcare of Central Virginia Inc | Past | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.