Organization Active NPI

Robert C Knapp MD LLC

Doing business as Robert C Knapp, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Beaver, PA
National Provider Identifier
1700275831
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD025539E Issued in PA
Legal business name
ROBERT C KNAPP MD LLC
Doing business as
Robert C Knapp, M.D.
Practice address
701 Sharon Rd
Suite 4
Beaver, PA 15009-3147
Phone
(724) 775-4797
Fax
(724) 775-9640
NPI assigned
Jan 13, 2015
Organization subpart
Yes
Parent organization
ROBERT C KNAPP M.D.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Authorized official

Name
Dr. Robert C Knapp, M.D.NPI 1437268067
Title
Physician
Phone
(724) 775-4797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X MD025539E PA Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X SP007845 PA

Addresses

Primary practice location

701 Sharon Rd
Suite 4
Beaver, PA 15009-3147

Mailing address

701 Sharon Rd
Suite 4
Beaver, PA 15009-3147
Phone (724) 775-4797

Other identifiers 1

IdentifierTypeStateIssuer
21507YP2ROtherPAMEDICARE PTAN NUMBER

Other names 1

  • Robert C Knapp, M.D. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040615000025 PA Part B Supplier - Clinic/Group Practice 3577547967 Receives reassigned benefits from 1 practitioner
Practice locations: Beaver, PA

National Provider Directory

National Provider Directory
Part of
Robert C Knapp

Locations

701 Sharon Rd
Ste 4
Beaver, PA 15009
Phone (724) 775-4597

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1700275831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SHARON RD",
            "address_2": "SUITE 4",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150093147",
            "telephone_number": "724-775-4797",
            "fax_number": "724-775-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SHARON RD",
            "address_2": "SUITE 4",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150093147",
            "telephone_number": "724-775-4797",
            "fax_number": "724-775-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C KNAPP MD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROBERT C KNAPP M.D.",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "KNAPP",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "724-775-4797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD025539E",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP007845",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN NUMBER",
            "identifier": "21507YP2R",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert C Knapp, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.