Provider Demographics
NPI:1982657334
Name:ROMANO, ROBERT PAUL (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:PAUL
Last Name:ROMANO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 AMALIA DR
Mailing Address - Street 2:
Mailing Address - City:BUCKHANNON
Mailing Address - State:WV
Mailing Address - Zip Code:26201-2239
Mailing Address - Country:US
Mailing Address - Phone:304-473-2127
Mailing Address - Fax:
Practice Address - Street 1:21 AUCTION LN STE B
Practice Address - Street 2:
Practice Address - City:BUCKHANNON
Practice Address - State:WV
Practice Address - Zip Code:26201-8968
Practice Address - Country:US
Practice Address - Phone:304-460-7925
Practice Address - Fax:304-472-7682
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1675207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0170340000Medicaid
WV7247021OtherAETNA
WVP00872357OtherRAILROAD MEDICARE
WV001721677OtherBLUE CROSS BLUE SHIELD
WVG93769Medicare UPIN
WVRO0877566Medicare PIN