1982785895 NPI number — DR. ROBERT RICHARD CHRZANOWSKI MD

Table of content: DR. AARON C HAN MD (NPI 1063172658)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982785895 NPI number — DR. ROBERT RICHARD CHRZANOWSKI MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHRZANOWSKI
Provider First Name:
ROBERT
Provider Middle Name:
RICHARD
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982785895
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/04/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1220 BROOKSTONE CENTRE PKWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COLUMBUS
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31904-2954
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
706-324-4012
Provider Business Mailing Address Fax Number:
706-324-0396

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1220 BROOKSTONE CENTRE PKWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31904-2954
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-324-4012
Provider Business Practice Location Address Fax Number:
706-324-0396
Provider Enumeration Date:
10/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207K00000X , with the licence number:  036123 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207K00000X , with the licence number: 00021359 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 60036871 . This is a "BCBS AL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 304874 . This is a "WELLCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 535025 . This is a "BCBS GA PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 03BDBRX . This is a "MEDICARE PART B" identifier . This identifiers is of the category "OTHER".
  • Identifier: 535025 . This is a "BCBS AL ALL KIDS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 535025 . This is a "BCBS HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 535025 . This is a "BCBS GA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00711576F . This is a "PEACHCARE FOR KIDS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 535025 . This is a "BCBS AL GA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 535025 . This is a "STATE HEALTH BENEFIT P" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00711576E . This is a "PEACHCARE FOR KIDS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00711576E , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 535025 . This is a "BCBS FED" identifier . This identifiers is of the category "OTHER".
  • Identifier: 535025 . This is a "BCBS POS" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com