Provider Demographics
NPI:1508840281
Name:HOPKINS, ROBERT GARY (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:GARY
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 S PENN ST
Mailing Address - Street 2:
Mailing Address - City:MANHEIM
Mailing Address - State:PA
Mailing Address - Zip Code:17545-1749
Mailing Address - Country:US
Mailing Address - Phone:717-665-2496
Mailing Address - Fax:717-665-6345
Practice Address - Street 1:130 S PENN ST
Practice Address - Street 2:
Practice Address - City:MANHEIM
Practice Address - State:PA
Practice Address - Zip Code:17545-1749
Practice Address - Country:US
Practice Address - Phone:717-665-2496
Practice Address - Fax:717-665-6345
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2007-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD023720E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0008420040001Medicaid
PA03164001OtherCAPITAL BLUE CROSS
PA578354OtherAETNA HMO
PA5962078OtherAETNA NON-HMO
PA123422OtherHIGHMARK BLUE SHIELD
PAC30840OtherHEALTH ASSURANCE
PAP002642OtherGATEWAY HEALTH PLAN
PA40159 S1QHOtherGEISINGER HEALTH PLAN
PA578354OtherAETNA HMO
PA123422JZEMedicare PIN