# ROBERT C KNAPP MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ROBERT C KNAPP M.D.
- **Other names:** Robert C Knapp, M.D.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700275831
- **Legal business name:** ROBERT C KNAPP M.D.
- **Authorized official:** DR. ROBERT C KNAPP M.D. (PHYSICIAN)
- **Authorized official phone:** (724) 775-4797

## Contact information

- **Practice address:** 701 SHARON RD, SUITE 4, BEAVER, PA 15009-3147
- **Practice address phone:** (724) 775-4797
- **Practice address fax:** (724) 775-9640
- **Mailing address:** 701 SHARON RD, SUITE 4, BEAVER, PA 15009-3147
- **Mailing address phone:** (724) 775-4797
- **Mailing address fax:** (724) 775-9640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | MD025539E | PA | Yes |
| 363L00000X | Nurse Practitioner | SP007845 | PA | — |

## Other

- **Enumeration date:** 01/13/2015
- **Last updated:** 12/01/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 21507YP2R | MEDICARE PTAN NUMBER | PA |