Individual provider Active NPI

Robert Michael Taxin, D.O.

  • Family Medicine Physician
  • Fogelsville, PA
National Provider Identifier
1033145271
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS 003766L Issued in PA
Practice address
7619 Tilghman St
Fogelsville, PA 18051
Phone
(610) 395-1936
Fax
(610) 395-7263
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS 003766L PA Primary

Addresses

Primary practice location

7619 Tilghman St
Fogelsville, PA 18051

Mailing address

PO Box 1754
Allentown, PA 18105-1754
Phone (484) 884-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141008000915 AZ Practitioner - Family Practice 8527197219 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS 003766LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory CurrentSince Sep 8, 2014 Accepting new patients
Honorhealth Ambulatory CurrentSince Sep 8, 2014 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Dec 24, 2020 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Dec 24, 2020 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Lehigh Valley Physician Group Family Medicine PastSince Jul 28, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2500 W Utopia Rd
Ste 100CVO
Phoenix, AZ 85027
Phone (202) 294-0298

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

20745 N Scottsdale Rd
Ste 100
Scottsdale, AZ 85255
Phone (480) 587-5460

20745 N Scottsdale Rd
Ste 105
Scottsdale, AZ 85255
Phone (480) 534-4525

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1033145271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1754",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181051754",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7619 TILGHMAN ST",
            "city": "FOGELSVILLE",
            "state": "PA",
            "postal_code": "18051",
            "telephone_number": "610-395-1936",
            "fax_number": "610-395-7263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAXIN",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS 003766L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fogelsville, PA

Sources for this page

Verify at the official NPI Registry.