Basic Information
Provider Information | |||||||||
NPI: | 1447363742 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | FERBER | ||||||||
FirstName: | ROBERT | ||||||||
MiddleName: | C. | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | MD | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 801 MIDDLEFORD RD | ||||||||
Address2: | NANTICOKE MEMORIAL HOSPITAL | ||||||||
City: | SEAFORD | ||||||||
State: | DE | ||||||||
PostalCode: | 19973 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 3026296611 | ||||||||
FaxNumber: | 3026286379 | ||||||||
Practice Location | |||||||||
Address1: | 801 MIDDLEFORD RD | ||||||||
Address2: | NANTICOKE MEMORIAL HOSPITAL | ||||||||
City: | SEAFORD | ||||||||
State: | DE | ||||||||
PostalCode: | 19973 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 3026296611 | ||||||||
FaxNumber: | 3026286379 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 08/17/2006 | ||||||||
LastUpdateDate: | 07/16/2020 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | M | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 07/16/2020 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | 2712 | DE | Y |   | Allopathic & Osteopathic Physicians | Hospitalist |   |
ID Information
ID | Type | State | Issuer | Description | 0000056401 | 05 | DE |   | MEDICAID | 540224HDP | 01 | DE | BCBS | OTHER |