Healthcare Provider Details

I. General information

NPI: 1811904006
Provider Name (Legal Business Name): ROBERT J TRIMARCHE PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1049 CLAYMONT DR
LYNCHBURG VA
24502-4481
US

IV. Provider business mailing address

631 BERKMAR CIR
CHARLOTTESVILLE VA
22901-1464
US

V. Phone/Fax

Practice location:
  • Phone: 434-400-9668
  • Fax: 434-465-6018
Mailing address:
  • Phone: 434-851-3969
  • Fax: 434-465-6018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0110004190
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: