Basic Information
| Provider Information | |||||||||
| NPI: | 1982967287 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHOPF | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | B. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.P.M. | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 3 RIVERSIDE CIR | ||||||||
| Address2: | |||||||||
| City: | ROANOKE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 240164955 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5407251226 | ||||||||
| FaxNumber: | 5408575306 | ||||||||
| Practice Location | |||||||||
| Address1: | 3708 S MAIN ST | ||||||||
| Address2: | |||||||||
| City: | BLACKSBURG | ||||||||
| State: | VA | ||||||||
| PostalCode: | 240607007 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5405527133 | ||||||||
| FaxNumber: | 5405527143 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/21/2012 | ||||||||
| LastUpdateDate: | 06/10/2020 | ||||||||
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| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | M | ||||||||
| AuthorizedOfficialLastName: | |||||||||
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| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
| ParentOrganizationLBN: | |||||||||
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| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | 06/10/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 213E00000X | 0116024662 | VA | N | Podiatric Medicine & Surgery Service Providers | Podiatrist | 213ES0103X | 0103301135 | VA | Y | Podiatric Medicine & Surgery Service Providers | Podiatrist | Foot & Ankle Surgery |
ID Information
| ID | Type | State | Issuer | Description | 1982967287 | 01 | VA | GATEWAY | OTHER | 1982967287 | 01 | VA | HUMANA MEDICARE | OTHER | 1982967287 | 01 | VA | IN-TOTAL | OTHER | 1982967287 | 01 | VA | UMWA | OTHER | 1982967287 | 01 | VA | ANTHEM | OTHER | 1982967287 | 01 | VA | HEALTHKEEPERS | OTHER | 1982967287 | 01 | VA | AETNA | OTHER | 1982967287 | 01 | VA | TRICARE | OTHER | 1982967287 | 01 | VA | VA MEDICAID | OTHER | P01522967 | 01 | VA | RAILROAD MEDICARE | OTHER | 1982967287 | 01 | VA | OPTIMA HEALTH PLAN | OTHER | 1982967287 | 01 | VA | VIRGINIA PREMIER | OTHER | 1982967287 | 01 | VA | VA HEALTH NETWORK | OTHER | 3810029661 | 01 | WV | MEDICAID OF WEST VIRGINIA | OTHER | 1982967287 | 01 | VA | HEALTHKEEPERS PLUS | OTHER | 1982967287 | 01 | VA | UNITED HEALTHCARE | OTHER | 1982967287 | 01 | VA | SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY | OTHER | 1982967287 | 01 | VA | CIGNA | OTHER |