Provider Demographics
NPI:1548463433
Name:SALTZMANN, ROBERT M (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:M
Last Name:SALTZMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:400 PARK ST
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012-3368
Mailing Address - Country:US
Mailing Address - Phone:704-295-3700
Mailing Address - Fax:704-295-3707
Practice Address - Street 1:400 PARK ST
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:NC
Practice Address - Zip Code:28012-3368
Practice Address - Country:US
Practice Address - Phone:704-295-3700
Practice Address - Fax:704-295-3707
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NC2010-00150207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5915176Medicaid
SC30083054OtherSELECT HEALTH OF SC
NC9088389OtherAETNA
BP1-0026336OtherINSTITUTIONAL PERMIT
SC000000306329OtherUNISON HEALTH PLAN OF SC
773918OtherWELLCARE
NC1589HOtherBCBSNC
SCNC1181Medicaid
NCP00876052OtherRAILROAD MEDICARE
NC5915176Medicaid