Robert Stephan Ennis, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME 20284 Issued in FL

Practice address

3455 Stallion LN
Weston, FL 33331-3035

Phone

(305) 542-4768

Fax

(954) 349-4452

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235163916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 STALLION LN",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313035",
            "telephone_number": "305-542-4768",
            "fax_number": "954-349-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 STALLION LN",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313035",
            "telephone_number": "305-542-4768",
            "fax_number": "954-349-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENNIS",
        "first_name": "ROBERT",
        "middle_name": "STEPHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME 20284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliot Cintron Enterprises PA (Weston Chiropractic Center)
• Fedricka Adriana Ellis, RBT
• Hossam Elzawawy, MD
• Empowering Little Minds Inc
• Randee Goldstein Engelhard, M.P.T
• Yanet Enriquez, APRN
• Yariela Margarita Enriquez, MD
• Andrea Lynn Entus, DNP
• Mark A Epstein, MD
• Diana Marcela Erasso, PHD, PA-C

• Orthopaedic Surgery Physician in Weston, FL
• Providers in Weston, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.