Provider Demographics
NPI:1871560482
Name:ROVNER, ROBERT A (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:ROVNER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1320 EL CAPITAN DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-6258
Mailing Address - Country:US
Mailing Address - Phone:925-275-0700
Mailing Address - Fax:925-275-0701
Practice Address - Street 1:1320 EL CAPITAN DR
Practice Address - Street 2:SUITE 200
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-6258
Practice Address - Country:US
Practice Address - Phone:925-275-0700
Practice Address - Fax:925-275-0701
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2025-02-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG42980207X00000X, 207XS0117X, 207XS0114X, 207XX0005X, 207XP3100X, 207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic Surgery
No207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA124134OtherMEDICARE PTAN
CA00G429803OtherBLUE SHIELD
CAP00041947OtherRAIL ROAD MEDICARE
CA00G429804Medicare PIN
CAP00041947OtherRAIL ROAD MEDICARE