Active NPI
Robert Eanett, MD
- Pediatrics Physician
- Lakeland, FL
National Provider Identifier
1518939818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME34349
- Practice address
- 1033 N Parkway Frontage Rd
Lakeland, FL 33803 - Phone
- (863) 647-8011
- Fax
- (863) 647-8029
- NPI assigned
- Feb 2, 2006
- Last updated
- Feb 11, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME34349 | FL | Primary |
Addresses
Primary practice location
1033 N Parkway Frontage Rd
Lakeland, FL 33803
Mailing address
PO Box 95004
Lakeland, FL 33804-5004
Phone (863) 680-7206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 066791900 | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265846400000",
"number": "1518939818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95004",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338045004",
"telephone_number": "863-680-7206",
"fax_number": "863-680-7420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1033 N PARKWAY FRONTAGE RD",
"city": "LAKELAND",
"state": "FL",
"postal_code": "33803",
"telephone_number": "863-647-8011",
"fax_number": "863-647-8029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EANETT",
"first_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2010-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME34349",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "066791900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.