Organization Active NPI

Robert S Cutler DO PA

  • Colon & Rectal Surgery Physician
  • Loxahatchee, FL
National Provider Identifier
1285679126
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
OS5469 Issued in FL
Legal business name
ROBERT S CUTLER DO PA
Practice address
13005 Southern Blvd Ste 122
Medical Mall One, Suite 122
Loxahatchee, FL 33470-9231
Phone
(561) 842-5050
Fax
(561) 793-9989
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Authorized official

Name
Ms. Sheri Shannon Grisso, ARNP
Title
Practice Administrator
Phone
(561) 842-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X OS5469 FL Primary

Addresses

Primary practice location

13005 Southern Blvd Ste 122
Medical Mall One, Suite 122
Loxahatchee, FL 33470-9231

Mailing address

13005 Southern Blvd Ste 122
Medical Mall One, Suite 122
Loxahatchee, FL 33470-9231
Phone (561) 842-5050

Other identifiers 1

IdentifierTypeStateIssuer
80092BOtherFLBCBS

National Provider Directory

National Provider Directory

Locations

13005 State Road 80
Ste 122
Loxahatchee, FL 33470
Phone (561) 793-9909

13005 Southern Blvd
Ste 121
Loxahatchee, FL 33470
Phone (561) 444-3887

Practitioners & affiliated clinicians

Practitioners 1

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": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1285679126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13005 SOUTHERN BLVD STE 122",
            "address_2": "MEDICAL MALL ONE, SUITE 122",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709231",
            "telephone_number": "561-842-5050",
            "fax_number": "561-793-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13005 SOUTHERN BLVD STE 122",
            "address_2": "MEDICAL MALL ONE, SUITE 122",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709231",
            "telephone_number": "561-842-5050",
            "fax_number": "561-793-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S CUTLER DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "GRISSO",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "SHANNON",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "561-842-5050",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "OS5469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80092B",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.

Verify at the official NPI Registry.