Robert David Ambre II, PA-C
Individual provider Active NPI Physician Assistant · Tallahassee, FL
NPI 1316398282 · NPPES record last updated Nov 10, 2020
Key facts
- NPI
- 1316398282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA9109589 (FL)
- Practice address
- 2605 Welaunee Blvd
Tallahassee, FL 32308-4697 - Phone
- (850) 877-8174
- Fax
- (844) 261-6839
- NPI assigned
- Jun 22, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tallahassee Orthopedic Clinic III PL
Practice addresses (Care Compare)
2605 Welaunee Blvd
Tallahassee, FL 32308-4697
Phone (850) 877-8174
3334 Capital Medical Blvd
Suite 400
Tallahassee, FL 32308-4470
Phone (850) 877-8174
803 W Main St
Perry, FL 32347-2612
Phone (850) 584-7078
Hospital & facility affiliations
- Tallahassee Memorial Healthcare
- Doctors Memorial Hospital Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.5 of 100
- Quality
- 47.27
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.24
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171122000164 | FL | Practitioner - Physician Assistant | 5991062226 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9109589 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tallahassee Orthopedic Clinic III PL | Current |
Accepting new patients | |
| Tallahassee Orthopedic Clinic III, P.L. | Current |
Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
2011 Harrison Ave
Panama City, FL 32405
Phone (850) 691-4188
803 W Main St
Perry, FL 32347
Phone (850) 584-7078
3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 210-1808
1981 Capital Cir NE
Tallahassee, FL 32308
Phone (850) 738-7977
3334 Capital Medical Blvd
Ste 400
Tallahassee, FL 32308
2605 Welaunee Blvd
Tallahassee, FL 32308
Phone (850) 219-1932
113 W Hansell St
Thomasville, GA 31792
Phone (229) 226-3060
Interoperability endpoints
- robert.ambre.1@18802.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9109589 | FL | Yes |
Addresses
Primary practice location
2605 Welaunee Blvd
Tallahassee, FL 32308-4697
Mailing address
3334 Capital Medical Blvd Ste 400
Tallahassee, FL 32308-4470
Phone (850) 877-8174
Other practice location 1
3334 Capital Medical Blvd Ste 400
Tallahassee, FL 32308
Phone (850) 877-8174
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251006508 | Medicaid | FL |
Other providers in Tallahassee, FL
- Marie Michelle Amanze
- Nnaemeka I Amanze
- Kelly Elizabeth Amaro
- Ambassador Health Services Inc
- Ambiance Salon of Tallahassee
- Jessica Ambriz
- Gabrielle Alisa Ambrose
- Ambulatory Ankle and Foot Care Center PA
- Amedisys Florida, LLC
- Lexi Amerault
All providers in Tallahassee, FL · Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.