Active NPI
Paul Roberts, D.O.
- Addiction Medicine (Psychiatry & Neurology) Physician
- Orlando, FL
National Provider Identifier
1154766541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- License
- OS5120
- Practice address
- 8529 Southpark Cir
Suite 270
Orlando, FL 32819-9029 - Phone
- (407) 351-7080
- NPI assigned
- Apr 30, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | OS5120 | FL | Primary |
Addresses
Primary practice location
8529 Southpark Cir
Suite 270
Orlando, FL 32819-9029
Mailing address
8529 Southpark Cir
Suite 270
Orlando, FL 32819-9029
Phone (407) 351-7080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS5120 | FL | MD | Addiction Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Treatment of Texas, LP | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Methadone Clinic
- Orlando, FL
- NPI 1851795157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367280000000",
"number": "1154766541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8529 SOUTHPARK CIR",
"address_2": "SUITE 270",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328199029",
"telephone_number": "407-351-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8529 SOUTHPARK CIR",
"address_2": "SUITE 270",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328199029",
"telephone_number": "407-351-7080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "PAUL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-30",
"last_updated": "2013-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "FL",
"license": "OS5120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.