Provider Demographics
NPI:1457354862
Name:POPE, ROBERT HARRIS III (PA-C)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:HARRIS
Last Name:POPE
Suffix:III
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 THE VILLAGE OVERLOOK
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-2616
Mailing Address - Country:US
Mailing Address - Phone:828-586-7474
Mailing Address - Fax:828-586-7473
Practice Address - Street 1:38 THE VILLAGE OVERLOOK
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-2616
Practice Address - Country:US
Practice Address - Phone:828-586-7474
Practice Address - Fax:828-586-7473
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC103358363AS0400X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8902791Medicaid
NC2755050AMedicare PIN
P55680Medicare UPIN
2755050AMedicare ID - Type Unspecified