Individual provider Active NPI

Robert Chauvin, PA-C

  • Physician Assistant
  • Burlington, NC
National Provider Identifier
1992854624
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
100869 Issued in NC
Practice address
1041 Kirkpatrick Rd
Suite 200
Burlington, NC 27215-8148
Phone
(336) 584-3100
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 100869 NC Primary

Addresses

Primary practice location

1041 Kirkpatrick Rd
Suite 200
Burlington, NC 27215-8148

Mailing address

1041 Kirkpatrick Rd
Suite 200
Burlington, NC 27215-8148
Phone (336) 584-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
100869NCMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1992854624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 KIRKPATRICK RD",
            "address_2": "SUITE 200",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158148",
            "telephone_number": "336-584-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 KIRKPATRICK RD",
            "address_2": "SUITE 200",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158148",
            "telephone_number": "336-584-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUVIN",
        "first_name": "ROBERT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "100869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.