Provider Demographics
NPI:1225090509
Name:CLAMPITT, ROBERT VAN (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:VAN
Last Name:CLAMPITT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1020 TERRACE DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MARION
Mailing Address - State:VA
Mailing Address - Zip Code:24354-4392
Mailing Address - Country:US
Mailing Address - Phone:276-783-7167
Mailing Address - Fax:276-783-6432
Practice Address - Street 1:1020 TERRACE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:MARION
Practice Address - State:VA
Practice Address - Zip Code:24354-4392
Practice Address - Country:US
Practice Address - Phone:276-783-7167
Practice Address - Fax:276-783-6432
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101044814207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA080120201OtherRAILROAD MEDICARE
VA1620892OtherCOVENTRY HEALTH
VA240909OtherANTHEM BCBS
VA005619068Medicaid
VA240909OtherANTHEM BCBS
VA005619068Medicaid