Organization Active NPI

Robert M Homer MD PA

  • Specialist
  • Boca Raton, FL
National Provider Identifier
1376582395
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME82474 Issued in FL
Legal business name
ROBERT M HOMER MD PA
Practice address
7100 W Camino Real
Suite 302
Boca Raton, FL 33433-5510
Phone
(561) 392-3557
Fax
(561) 392-3587
NPI assigned
Jun 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Dr. Robert M Homer, M.D.NPI 1417940222
Title
Owner
Phone
(561) 392-3557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME82474 FL Primary

Addresses

Primary practice location

7100 W Camino Real
Suite 302
Boca Raton, FL 33433-5510

Mailing address

7050 W Palmetto Park Rd
Suite 15-195
Boca Raton, FL 33433-3426
Phone (561) 392-3557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090722000399 FL Part B Supplier - Clinic/Group Practice 0143372102 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL

National Provider Directory

National Provider Directory

Locations

7100 Camino Real
Ste 3029
Boca Raton, FL 33433
Phone (561) 392-3557

7050 W Palmetto Park Rd
Ste 15195
Boca Raton, FL 33433

500 NE Spanish River Blvd
Ste 104
Boca Raton, FL 33431
Phone (561) 392-3356

Practitioners & affiliated clinicians

Practitioners 2

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": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1376582395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 W PALMETTO PARK RD",
            "address_2": "SUITE 15-195",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333426",
            "telephone_number": "561-392-3557",
            "fax_number": "561-392-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W CAMINO REAL",
            "address_2": "SUITE 302",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334335510",
            "telephone_number": "561-392-3557",
            "fax_number": "561-392-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M HOMER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "HOMER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-392-3557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME82474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.