NPIMap

Organization Active NPI

Robert H Fier Mdpa

  • Specialist
  • Port St Lucie, FL
National Provider Identifier
1619016607
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME30598 Issued in FL
Legal business name
ROBERT H FIER MDPA
Practice address
514 SW Prima Vista Blvd
Port St Lucie, FL 34983-8734
Phone
(772) 878-3437
Fax
(772) 878-1298
NPI assigned
Feb 6, 2007
Last updated
Sep 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Authorized official

Name
Dr. Robert H. Fier, M.D.
Title
Owner
Phone
(772) 878-3437

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X POC 3339 FL
Specialist 174400000X ME30598 FL Primary

Addresses

Primary practice location

514 SW Prima Vista Blvd
Port St Lucie, FL 34983-8734

Mailing address

514 SW Prima Vista Blvd
Port St Lucie, FL 34983-8734
Phone (772) 878-3437

Other identifiers 2

IdentifierTypeStateIssuer
CC9114OtherFLRR MEDICARE PTAN
471650OtherFLCOVENTRY HEALTH CARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040909000574 FL Part B Supplier - Clinic/Group Practice 6002882172 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Stuart, FL; Port St Lucie, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Robert H Fier Mdpa3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

514 SW Prima Vista Blvd
Port St Lucie, FL 34983
Phone (772) 878-3437

931 SE Ocean Blvd
Ste A
Stuart, FL 34994
Phone (772) 283-3820

Practitioners & affiliated clinicians

Practitioners 6

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": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1619016607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 SW PRIMA VISTA BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349838734",
            "telephone_number": "772-878-3437",
            "fax_number": "772-878-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 SW PRIMA VISTA BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349838734",
            "telephone_number": "772-878-3437",
            "fax_number": "772-878-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT H FIER MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "FIER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-878-3437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "POC 3339",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME30598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PTAN",
            "identifier": "CC9114",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH CARE",
            "identifier": "471650",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.