Organization Active NPI

Robert H Felman MD PA

  • Specialist
  • Venice, FL
National Provider Identifier
1508170580
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0061880 Issued in FL
Legal business name
ROBERT H FELMAN MD PA
Practice address
1041 Ridgewood Ave
Venice, FL 34285-6978
Phone
(941) 484-3557
NPI assigned
Aug 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Authorized official

Name
Ms. Kimberly S Mussone
Title
Practice Manager
Phone
(941) 484-3557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0061880 FL Primary

Addresses

Primary practice location

1041 Ridgewood Ave
Venice, FL 34285-6978

Mailing address

1041 Ridgewood Ave
Venice, FL 34285-6978
Phone (941) 484-3557

Other identifiers 1

IdentifierTypeStateIssuer
1720045602OtherFLINDIVIDUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100805000282 FL Part B Supplier - Clinic/Group Practice 2860525219 Receives reassigned benefits from 1 practitioner
Practice locations: Venice, FL

National Provider Directory

National Provider Directory

Locations

421 Commercial Ct
Ste A
Venice, FL 34292
Phone (941) 484-3557

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": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1508170580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 RIDGEWOOD AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342856978",
            "telephone_number": "941-484-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 RIDGEWOOD AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342856978",
            "telephone_number": "941-484-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT H FELMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "MUSSONE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "941-484-3557",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0061880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1720045602",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.