Provider Demographics
NPI:1861579989
Name:UNKEFER, ROBERT PAUL (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:PAUL
Last Name:UNKEFER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:125 MOUNTAIN VIEW DR STE 300
Mailing Address - Street 2:
Mailing Address - City:VONORE
Mailing Address - State:TN
Mailing Address - Zip Code:37885-2666
Mailing Address - Country:US
Mailing Address - Phone:423-884-2971
Mailing Address - Fax:423-884-2984
Practice Address - Street 1:125 MOUNTAIN VIEW DR STE 300
Practice Address - Street 2:
Practice Address - City:VONORE
Practice Address - State:TN
Practice Address - Zip Code:37885-2666
Practice Address - Country:US
Practice Address - Phone:423-884-2971
Practice Address - Fax:423-884-2984
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35046207N00000X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3864382Medicaid
TNH41792Medicare UPIN
TN3864382Medicare PIN