Individual
DR. SCOTT ALAN ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 RIVERVIEW AVE, SUITE 700, NORFOLK, VA 23510
(757) 252-9365
(757) 962-7217
Mailing address
301 RIVERVIEW AVE, SUITE 700, NORFOLK, VA 23510-1065
(757) 252-9365
(757) 962-7217
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101055677
VA
207RI0011X
Interventional Cardiology Physician
Primary
0101055677
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-001
CHAMPUS/TRICARE
VA
05
—
005868092
—
VA
05
—
010008336
—
VA
01
—
065CR
BC/BS NC
NC
01
—
287519
ANTHEM BC/BS AND HKP
VA
01
—
298696
MAMSI
VA
01
—
398696
UHC/MAMSI/MDIPA
VA
01
—
466989
ATHEM BC/BS VA/HK
VA
01
—
53044
OPTIMA HEALTH PLAN
VA
01
—
70998
SENTARA OHP/SHP
VA
05
—
89065CR
—
NC
01
—
PAR
CORVEL/CORCARE
VA
Enumeration date
03/01/2006
Last updated
05/17/2018
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