Robert Olton, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9106278 Issued in FL

Practice address

12128 Streambed Dr
Riverview, FL 33579-9336

Phone

(786) 259-2937

NPI assigned

Nov 10, 2011

Last updated

Aug 7, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et1256.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• Premier Community Healthcare Group Inc

  • Federally Qualified Health Center (FQHC)
  • Dade City, FL
  • NPI 1841263399
  Medicare reassignment NPD
• Premier Community Healthcare Group, Inc.

  • Federally Qualified Health Center (FQHC)
  • Zephyrhills, FL
  • NPI 1508445362
  NPD
• Access Health Care LLC

  • Internal Medicine Physician
  • Lake Panasoffkee, FL
  • NPI 1629211677
  NPD (past)
• Premier Community Healthcare Group Inc

  • Federally Qualified Health Center (FQHC)
  • Zephyrhills, FL
  • NPI 1225000318
  NPD (past)

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1568749034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12128 STREAMBED DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335799336",
            "telephone_number": "786-259-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12128 STREAMBED DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335799336",
            "telephone_number": "786-259-2937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLTON",
        "first_name": "ROBERT",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-10",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA9106278",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004286000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariana Eteri Oliva, M.D.
• Frank Oliver, DO
• Samantha Oliveri
• Daniel Olson, M.D.
• Ebony Patrice Olton, ARNP
• Omni Healthcare Services, Inc. (Omni Healthcare)
• Omni Pain Care, LLC (Omni Spine & Joint - Riverview)
• Natalie Marie Oncel, APRN
• Yanet Ones Padron
• Open Hearts Family Care, LLC

• Physician Assistant in Riverview, FL
• Providers in Riverview, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.