Provider Demographics
NPI:1962421040
Name:SPERRY, ROBERT E (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E
Last Name:SPERRY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8001 FRANKLIN FARMS DR
Mailing Address - Street 2:SUITE 700
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-5108
Mailing Address - Country:US
Mailing Address - Phone:804-521-5800
Mailing Address - Fax:804-545-4340
Practice Address - Street 1:7611 FOREST AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-4946
Practice Address - Country:US
Practice Address - Phone:804-288-4827
Practice Address - Fax:804-288-4494
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2014-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101045319207RC0001X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA30606OtherSENTARA HEALTH/OPTIMA
VA6007651Medicaid
VA221159OtherMAMSI
VA276280OtherANTHEM/VA HEALTHKEEPERS
VA3216262OtherCIGNA
VA60024221OtherRAILROAD MEDICARE
VA4411778OtherAETNA/US HEALTHCARE
VA276365OtherANTHEM/VA HEALTHKEEPERS
VA103798OtherANTHEM/VA HEALTHKEEPERS
VA276238OtherANTHEM/VA HEALTHKEEPERS
VA276306OtherANTHEM/VA HEALTHKEEPERS
VA68290OtherANTHEM/VA HEALTHKEEPERS
VA10071127Medicaid
VA276209OtherANTHEM/VA HEALTHKEEPERS
VA56286OtherSOUTHERN HEALTH SERVICES
VA785493OtherAETNA/US HEALTHCARE HMO
VA27413300OtherFEDERAL BLACK LUNG BENEFI
VA276365OtherANTHEM/VA HEALTHKEEPERS
VA3216262OtherCIGNA