Active NPI
Robert D Santrock, M.D.
- Orthopaedic Surgery Physician
- Fernandina Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME151129
- Practice address
- 1348 S 18TH St Ste 200
Fernandina Beach, FL 32034-4785 - Phone
- (904) 202-6683
- Fax
- (904) 376-3062
- NPI assigned
- Dec 19, 2005
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 28473 | SC | |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 20792 | WV | |
| Orthopaedic Surgery Physician | 207X00000X | ME151129 | FL | Primary |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | ME151129 | FL | |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 35.08143 | OH |
Addresses
Primary practice location
1348 S 18TH St Ste 200
Fernandina Beach, FL 32034-4785
Mailing address
PO Box 746647
Atlanta, GA 30374-6647
Phone (904) 202-2092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- West Virginia University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1348 S 18TH St
Suite 200
Fernandina Beach, FL 32034-4785
Phone (904) 202-6683
2416 Lynndale Rd
Suite 102
Fernandina Beach, FL 32034-5201
Phone (904) 430-7132
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.84 of 100
- Quality
- 85.67
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28473 | SC | MD | Orthopaedic Foot and Ankle Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Russell Stackhouse MD PA | Foot and Ankle Surgery | Current | Accepting new patients |
| Lyerly Baptist Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Dovetail Orthopedics, LLC | Foot and Ankle Surgery | Current | Accepting new patients |
| Midlands Orthopaedics and Neurosurgery, PA | Orthopaedic Surgery | Past | Accepting new patients |
| Midlands Orthopaedics and Neurosurgery PA | Past | Accepting new patients |
Locations
1348 S 18th St
Ste 200
Fernandina Beach, FL 32034
Phone (904) 202-6683
6 S 14th St
Fernandina Beach, FL 32034
Phone (904) 261-5741
2416 Lynndale Rd
Ste 102
Fernandina Beach, FL 32034
Phone (904) 202-6683
1370 13th Ave S
Ste 215
Jax Bch, FL 32250
Phone (904) 249-1041
Interoperability endpoints
- rsantrock815743@direct.shands.ufl.edu
- rsantrock161450@baptisthealthsystemjacksonville.direct-ci.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Foot and Ankle Surgery Physician
- Fernandina Beach, FL
- NPI 1336920016
-
- Neurological Surgery Physician
- Jacksonville, FL
- NPI 1851347801
Orthopaedic Surgery
-
- Ophthalmology Physician
- Fernandina, FL
- NPI 1538655014
Foot and Ankle Surgery
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1598659393
-
- Orthopaedic Surgery Physician
- Columbia, SC
- NPI 1447235106
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fernandina Beach, FL
- NPI 1518024462
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769731200000",
"number": "1497731780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746647",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746647",
"telephone_number": "904-202-2092",
"fax_number": "904-376-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1348 S 18TH ST STE 200",
"city": "FERNANDINA BEACH",
"state": "FL",
"postal_code": "320344785",
"telephone_number": "904-202-6683",
"fax_number": "904-376-3062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTROCK",
"first_name": "ROBERT",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "SC",
"license": "28473",
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "WV",
"license": "20792",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME151129",
"primary": true
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "FL",
"license": "ME151129",
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "OH",
"license": "35.08143",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fernandina Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.