Individual provider Active NPI

Robert P Hillstrom, MD

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Sarasota, FL
National Provider Identifier
1225063548
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X
License
ME54913 Issued in FL
Practice address
5911 N Honore Ave Ste 120
Sarasota, FL 34243-2605
Phone
(941) 355-3223
Fax
(941) 358-9749
NPI assigned
Jul 12, 2006
Last updated
Apr 28, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X ME54913 FL
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X ME54913 FL Primary

Addresses

Primary practice location

5911 N Honore Ave Ste 120
Sarasota, FL 34243-2605

Mailing address

8374 Market St
195
Bradenton, FL 34202-5137
Phone (941) 355-3223

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100226000597 FL Practitioner - Plastic and Reconstructive SurgeryPractitioner - Otolaryngology 1153466388

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ear, Nose, and Throat Associates of Manatee, PA Past Accepting new patients
Manatee Hearing & Speech Center, Inc. Otolaryngology 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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240876800000",
    "number": "1225063548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8374 MARKET ST",
            "address_2": "195",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342025137",
            "telephone_number": "941-355-3223",
            "fax_number": "941-358-9749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 N HONORE AVE STE 120",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432605",
            "telephone_number": "941-355-3223",
            "fax_number": "941-358-9749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLSTROM",
        "first_name": "ROBERT",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2009-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME54913",
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "FL",
            "license": "ME54913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.