Active NPI
Robert Matison Cargile III, MD
- Diagnostic Radiology Physician
- Rockledge, FL
National Provider Identifier
1215083498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME111795
- Practice address
- 110 Longwood Ave
Rockledge, FL 32955-2828 - Phone
- (321) 636-2211
- NPI assigned
- Jan 28, 2007
- Last updated
- Apr 25, 2012
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2004010700 | MO | |
| Diagnostic Radiology Physician | 2085R0202X | 23847 | WV | |
| Diagnostic Radiology Physician | 2085R0202X | ME111795 | FL | Primary |
Addresses
Primary practice location
110 Longwood Ave
Rockledge, FL 32955-2828
Mailing address
PO Box 919346
Orlando, FL 32891-9346
Phone (727) 896-3134
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14JV4 | Other | FL | BCBS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004010700 | MO | MD | Diagnostic Radiology Physician |
| 23847 | WV | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Associates of Rockledge LLP | Diagnostic Radiology | Past | Accepting new patients |
| Raleigh Radiology Inc. | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Rockledge, FL
- NPI 1114991973
-
- Diagnostic Radiology Physician
- Beckley, WV
- NPI 1669405106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1215083498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 919346",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328919346",
"telephone_number": "727-896-3134",
"fax_number": "770-666-9331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LONGWOOD AVE",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329552828",
"telephone_number": "321-636-2211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARGILE",
"first_name": "ROBERT",
"middle_name": "MATISON",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-28",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2004010700",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WV",
"license": "23847",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME111795",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "14JV4",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockledge, FL
- Christy L Cannella, LMHC
- Jasmine Capers, MD
- Care Centrix Pharmacy LLC (Care Centrix Pharmacy)
- Care Health Service of Florida, Inc. (Redi-Nurse of the Space Coast)
- Caremax Medical Centers of Central Florida LLC
- Cheri Carman
- Elizabeth Carmen
- Carmita's Care Assisted Living Facility LLC
- Dennis J Carmody, DDS
- Peyton Carpenter
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.