Provider Demographics
NPI:1093928350
Name:ROBERT J UHREN MD PA
Entity Type:Organization
Organization Name:ROBERT J UHREN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:UHREN
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:828-669-9704
Mailing Address - Street 1:997 OLD HWY 70
Mailing Address - Street 2:SUITE A
Mailing Address - City:BLK MTN
Mailing Address - State:NC
Mailing Address - Zip Code:28711
Mailing Address - Country:US
Mailing Address - Phone:828-669-9704
Mailing Address - Fax:828-669-7413
Practice Address - Street 1:997 OLD HWY 70
Practice Address - Street 2:SUITE A
Practice Address - City:BLK MTN
Practice Address - State:NC
Practice Address - Zip Code:28711
Practice Address - Country:US
Practice Address - Phone:828-669-9704
Practice Address - Fax:828-669-7413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8984500Medicaid
NC84500OtherBCBS
NC2334668Medicare ID - Type UnspecifiedGROUP