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NPI Code Detail

MEDICARE: ROBERT K SCHELLENBERG MD

MEDICARE: ROBERT K SCHELLENBERG MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician31101NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1100006607OTHERNCRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
352993OTHERNCMECOST
45517992OTHERNCCIGNA HEALTHCARE
574879OTHERNCBCBSNC

General Provider Information

NPI Number : 1306830187
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT K SCHELLENBERG MD
Provider Business Mailing Address
First Line : PO BOX 7200
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27804-0200
Country : US
Telephone Number : 252-937-0200
Fax Number : 252-451-0056
Provider Business Practice Location Address
First Line : 901 N WINSTEAD AVE
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27804-8467
Country : US
Telephone Number : 252-937-0231
Fax Number : 252-937-3113
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 03/30/2015

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