Active NPI
Robert Michael Dorman, M.D.
- Surgery Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2018017277
- Practice address
- 700 Childrens Dr
CCPR
Columbus, OH 43205-2639 - Phone
- (614) 722-0449
- Fax
- (614) 355-6229
- NPI assigned
- Apr 21, 2011
- Last updated
- Jun 29, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Surgery Physician | 208600000X | 277473 | NY | |
| Surgery Physician | 208600000X | 2018017277 | MO | Primary |
Addresses
Primary practice location
700 Childrens Dr
CCPR
Columbus, OH 43205-2639
Mailing address
700 Childrens Dr
CCPR
Columbus, OH 43205-2639
Phone (614) 722-0449
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Arkansas College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6535 Nemours Pkwy
Orlando, FL 32827-7884
Phone (407) 567-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277473 | NY | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients | |
| The Nemours Foundation | Current | Accepting new patients |
Locations
10140 Centurion Pkwy N
Jacksonville, FL 32256
Phone (904) 697-4100
807 Childrens Way
Jacksonville, FL 32207
Phone (904) 390-3600
6535 Nemours Pkwy
Orlando, FL 32827
Phone (407) 567-4000
Interoperability endpoints
- rdorman126519@direct.nemours.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1386658615
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
-
- Children's Hospital
- Wilmington, DE
- NPI 1467505073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1003107244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"address_2": "CCPR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052639",
"telephone_number": "614-722-0449",
"fax_number": "614-355-6229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CHILDRENS DR",
"address_2": "CCPR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432052639",
"telephone_number": "614-722-0449",
"fax_number": "614-355-6229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORMAN",
"first_name": "ROBERT",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-21",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "277473",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "2018017277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.