Provider Demographics
NPI:1306058201
Name:DOBRATZ, ERIC J (MD)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:J
Last Name:DOBRATZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 936
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-388-6200
Mailing Address - Fax:757-388-6201
Practice Address - Street 1:600 GRESHAM DR STE 1100
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1904
Practice Address - Country:US
Practice Address - Phone:757-388-6200
Practice Address - Fax:757-388-6201
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101245151207YS0123X, 207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1306058201Medicaid
VAPAROtherMULTIPLAN (EVMS HEALTH SERVICES)
VAPAROtherCORVEL/CORCARE
NC5911979Medicaid
VA373449OtherANTHEM BC/BS
VAPAROtherAETNA (EVMS HEALTH SERVICES)
VA10046052OtherSENTARA/OPTIMA HEALTH
VAPAROtherUNITED HEALTH CARE
VAPAROtherVIRGINIA HEALTH NETWORK
VA-004OtherTRICARE/CHAMPUS (EVMS HEALTH SERVICES)
VAPAROtherUSA MANAGED CARE (EVMS HEALTH SERVICES)
VAPAROtherVIRGINIA PREMIER HEALTH (EVMS HEALTH SERVICES)
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
NC11979OtherBC/BS OF NC
VAPAROtherCIGNA
VAPAROtherUNITED HEALTH CARE
VA373449OtherANTHEM BC/BS