Provider Demographics
NPI:1912970302
Name:SHWAYDER, ROBERT CRAIG (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CRAIG
Last Name:SHWAYDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:716 DENBIGH BLVD
Mailing Address - Street 2:SUITE E2
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608-4414
Mailing Address - Country:US
Mailing Address - Phone:757-874-2790
Mailing Address - Fax:757-874-6758
Practice Address - Street 1:716 DENBIGH BLVD
Practice Address - Street 2:SUITE E2
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608-4414
Practice Address - Country:US
Practice Address - Phone:757-874-2790
Practice Address - Fax:757-874-6758
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101030251207VX0000X, 207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6232019Medicaid
VA012623OtherANTHEM BCBS
VA160000058Medicare ID - Type Unspecified
VA6232019Medicaid