Provider Demographics
NPI:1285699215
Name:ARTHUR, RODNEY SAMUEL JR (MD)
Entity type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:SAMUEL
Last Name:ARTHUR
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 746550
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-6550
Mailing Address - Country:US
Mailing Address - Phone:540-564-5800
Mailing Address - Fax:540-564-5801
Practice Address - Street 1:1871 EVELYN BYRD AVE
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3487
Practice Address - Country:US
Practice Address - Phone:540-564-5800
Practice Address - Fax:540-564-5801
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101046275207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1285699215Medicaid
VA1285699215Medicaid
VAC30193Medicare UPIN
VA930002256OtherRAILROAD MEDICARE
VA390000081Medicare ID - Type Unspecified