Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Robert Converse, CAA

Individual provider Anesthesiologist Assistant · NPI 1457896375

Robert Converse, CAA is an Anesthesiology Assistant in Charleston, South Carolina. Graduated from University of Colorado School of Medicine, Aurora in 2016, 10 years ago. Practices with University Physicians Incorporated, a 3,148-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and South Carolina.

Years since qualifying
10
Trained at
University of Colorado School of Medicine, Aurora
Licensed in
CO, SC
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone: (843) 402-1436
Fax: (843) 402-1833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12605 E 16th Ave, Aurora, CO 80045-2545 — (720) 848-0000

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 75 (SC)
Anesthesiologist Assistant Taxonomy 367H00000X · Licence ANT.0000072 (CO)

Record details

NPI number1457896375
Entity typeIndividual (Type 1)
GenderMale
Credentials CAA
Sole proprietorNo
NPI enumeratedJanuary 2, 2017
Last updated in NPPESMay 10, 2024
Certification dateMay 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolUNIVERSITY OF COLORADO SCHOOL OF MEDICINE, AURORA
Graduated 2016 (10 years in practice)
Group practice University Physicians Incorporated — 3148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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