Active NPI
Robert Allen Wymer, M.D.
- Military Health Care Provider
- Chesapeake, VA
National Provider Identifier
1730247693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- License
- D3448
- Practice address
- 1435 Crossways Blvd
Suite 305
Chesapeake, VA 23320-2896 - Phone
- (757) 424-7750
- Fax
- (757) 424-7754
- NPI assigned
- Dec 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | D3448 | TX | Primary |
Addresses
Primary practice location
1435 Crossways Blvd
Suite 305
Chesapeake, VA 23320-2896
Mailing address
1200 Buddy CT
Chesapeake, VA 23321-1280
Phone (757) 488-1112
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": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730247693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 BUDDY CT",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233211280",
"telephone_number": "757-488-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1435 CROSSWAYS BLVD",
"address_2": "SUITE 305",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233202896",
"telephone_number": "757-424-7750",
"fax_number": "757-424-7754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYMER",
"first_name": "ROBERT",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "TX",
"license": "D3448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.