Organization Active NPI

Robert S Nelson MD PA

  • Ophthalmology Physician
  • St Petersburg, FL
National Provider Identifier
1558677708
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME13362 Issued in FL
Legal business name
ROBERT S NELSON MD PA
Practice address
600 6TH Street S.
St. Petersburg, FL 33701-4813
Phone
(727) 822-6763
Fax
(727) 821-0649
NPI assigned
Aug 26, 2010
Last updated
Sep 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
Robert S. Nelson, M.D.NPI 1588657449
Title
President/Owner
Phone
(727) 822-6763

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME13362 FL Primary

Addresses

Primary practice location

600 6TH Street S.
St. Petersburg, FL 33701-4813

Mailing address

600 6TH Street S.
St. Petersburg, FL 33701-4813
Phone (727) 822-6763

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1558677708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 6TH STREET S.",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337014813",
            "telephone_number": "727-822-6763",
            "fax_number": "727-821-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 6TH STREET S.",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "337014813",
            "telephone_number": "727-822-6763",
            "fax_number": "727-821-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S NELSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "727-822-6763",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME13362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.