Provider Demographics
NPI:1669091260
Name:THEISS, ROBERT E (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:E
Last Name:THEISS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:766 HARTNESS RD STE A
Mailing Address - Street 2:
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28677-3485
Mailing Address - Country:US
Mailing Address - Phone:704-360-4378
Mailing Address - Fax:704-696-8150
Practice Address - Street 1:766 HARTNESS RD STE A
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28677-3485
Practice Address - Country:US
Practice Address - Phone:704-360-4378
Practice Address - Fax:704-696-8150
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-13
Last Update Date:2025-07-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC00000002081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine