Individual provider Active NPI

Robert J Hawthorne, DC

  • Chiropractor
  • Sarasota, FL
National Provider Identifier
1437117967
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
HC0004148 Issued in FL
Practice address
4001 Swift Rd
Ste B
Sarasota, FL 34231-6578
Phone
(941) 383-7262
Fax
(941) 927-7262
NPI assigned
May 3, 2006
Last updated
Mar 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X HC0004148 FL Primary

Addresses

Primary practice location

4001 Swift Rd
Ste B
Sarasota, FL 34231-6578

Mailing address

4001 Swift Rd
Ste B
Sarasota, FL 34231-6578
Phone (941) 383-7262

Other identifiers 1

IdentifierTypeStateIssuer
380723100MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140305000849 FL Practitioner - Chiropractic 8426288853

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
HC0004148FLMDChiropractor
4148FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Bob Hawthorne Chiropractor Chiropractor CurrentSince Dec 24, 2013 Accepting new patients
Gulf Coast Chiropractic and Physical Therapy Center, PA Chiropractor Past Accepting new patients

Locations

4001 Swift Rd
Ste B
Sarasota, FL 34231
Phone (941) 383-7262

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1437117967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 SWIFT RD",
            "address_2": "STE B",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342316578",
            "telephone_number": "941-383-7262",
            "fax_number": "941-927-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 SWIFT RD",
            "address_2": "STE B",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342316578",
            "telephone_number": "941-383-7262",
            "fax_number": "941-927-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWTHORNE",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "HC0004148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380723100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.