Provider Demographics
NPI:1538275326
Name:BEYER, ROBERT A (DO)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:BEYER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8500-6335
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-0001
Mailing Address - Country:US
Mailing Address - Phone:215-807-8000
Mailing Address - Fax:215-807-8235
Practice Address - Street 1:3998 RED LION RD
Practice Address - Street 2:EMERGENCY MEDICINE
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1436
Practice Address - Country:US
Practice Address - Phone:215-612-4000
Practice Address - Fax:215-807-8235
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS005064L207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0062080000OtherKEYSTONE IBC
PA01022853-03OtherAMERICHOICE - TC
PA01022853-04OtherAMERICHOICE - FB
PA0010228530010Medicaid
PA20038294OtherAMERIHEALTH
PA416468OtherHIGHMARK BLUE SHIELD
PA930010850OtherRAILROAD MEDICARE
PAPA0027222OtherTRICARE
PA0010228530005Medicaid
PA07645OtherHEALTH PARTNERS
PA416468OtherPERSONAL CHOICE
PA452729OtherAETNA CONTRACT
PA56640533OtherMULTIPLAN
PA5703261OtherCIGNA
PA01022853-02OtherAMERICHOICE - FF
PA0010228530006Medicaid
PA1075475OtherKEYSTONE MERCY
PA416468OtherPERSONAL CHOICE
PA0010228530010Medicaid