Provider Demographics
NPI:1124026711
Name:NIRSCHL, ROBERT P (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:P
Last Name:NIRSCHL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1715 N GEORGE MASON DR
Mailing Address - Street 2:SUITE 504
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3609
Mailing Address - Country:US
Mailing Address - Phone:703-525-2200
Mailing Address - Fax:703-522-2603
Practice Address - Street 1:1715 N GEORGE MASON DR
Practice Address - Street 2:SUITE 504
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3609
Practice Address - Country:US
Practice Address - Phone:703-525-2200
Practice Address - Fax:703-522-2603
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101017284207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2129404OtherALLIANCE MAMSI PPO
DC34310001OtherCAREFIRST BLUE SHIELD
VA4090950OtherAETNA
VA145075OtherANTHEM BLUE SHIELD
VA6401503Medicaid
VA2129404OtherALLIANCE MAMSI PPO
DC045973Medicare PIN