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NPI Code Detail

MEDICARE: ROBERT AMICK MD

MEDICARE: ROBERT AMICK 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
1207Q00000XFamily Medicine Physician0101036989VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2382641OTHERVAANTHEM

General Provider Information

NPI Number : 1902878051
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT AMICK MD
Provider Business Mailing Address
First Line : 213 S JEFFERSON ST STE 1006
Second Line :
City : ROANOKE
State : VA
Zip : 24011-1713
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13205 BOOKER T WASHINGTON HWY
Second Line :
City : HARDY
State : VA
Zip : 24101-3947
Country : US
Telephone Number : 540-719-1815
Fax Number : 540-719-2867
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2006
Last Update Date : 02/24/2026

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Directions to “ ROBERT AMICK MD” Practice Location

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