Active NPI
Robert J. Kleinhans, M.D.
- Orthopaedic Hand Surgery Physician
- Jacksonville, FL
National Provider Identifier
1396749818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- ME29023
- Practice address
- 5737 Barnhill Dr Ste 102
Credentialing Department
Jacksonville, FL 32207-7189 - Phone
- (904) 739-3319
- Fax
- (904) 448-1416
- NPI assigned
- Jun 13, 2005
- Last updated
- Jan 31, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME29023 | FL | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | ME29023 | FL | Primary |
Addresses
Primary practice location
5737 Barnhill Dr Ste 102
Credentialing Department
Jacksonville, FL 32207-7189
Mailing address
PO Box 40767
Credentialing Department
Jacksonville, FL 32203-0767
Phone (904) 376-3707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250938500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME29023 | FL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacksonville Orthopaedic Institute Inc | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Jacksonville, FL
- NPI 1003912296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422662400000",
"number": "1396749818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40767",
"address_2": "CREDENTIALING DEPARTMENT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322030767",
"telephone_number": "904-376-3707",
"fax_number": "904-391-5807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5737 BARNHILL DR STE 102",
"address_2": "CREDENTIALING DEPARTMENT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322077189",
"telephone_number": "904-739-3319",
"fax_number": "904-448-1416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEINHANS",
"first_name": "ROBERT",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2015-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME29023",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "FL",
"license": "ME29023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "250938500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.