Organization Active NPI

Janet M Tobin MD PA

  • Family Medicine Physician
  • Port Charlotte, FL
National Provider Identifier
1063406445
Registry record updated May 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME62883 Issued in FL
Legal business name
JANET M TOBIN MD PA
Practice address
2400 Harbor Blvd
Ste 13
Port Charlotte, FL 33952-5052
Phone
(941) 629-3435
Fax
(941) 629-5250
NPI assigned
Aug 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2009

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

Authorized official

Name
Dr. Janet M Tobin, MD PANPI 1932193307
Title
Physician
Phone
(941) 629-3435

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME62883 FL Primary

Addresses

Primary practice location

2400 Harbor Blvd
Ste 13
Port Charlotte, FL 33952-5052

Mailing address

PO Box 510867
Punta Gorda, FL 33951-0867
Phone (941) 629-3435

Other identifiers 1

IdentifierTypeStateIssuer
18220OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041014001103 FL Part B Supplier - Clinic/Group Practice 2961462866 Receives reassigned benefits from 1 practitioner
Practice locations: Port Charlotte, FL; Punta Gorda, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2124123Janet M Tobin MD PA2400 Harbor Blvd Ste 13, Port Charlotte, FL 33952Certificate of waiverJan 9, 2027

National Provider Directory

National Provider Directory

Locations

2400 Harbor Blvd
Ste 13
Pt Charlotte, FL 33952
Phone (941) 629-3435

25097 Olympia Ave
#S107
Punta Gorda, FL 33950

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1063406445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510867",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339510867",
            "telephone_number": "941-629-3435",
            "fax_number": "941-629-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HARBOR BLVD",
            "address_2": "STE 13",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525052",
            "telephone_number": "941-629-3435",
            "fax_number": "941-629-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANET M TOBIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "TOBIN",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "941-629-3435",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME62883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "18220",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.