Organization Active NPI

Robert C Floros DPM PA

  • Foot & Ankle Surgery Podiatrist
  • Ewell, MD
National Provider Identifier
1659673945
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01448 Issued in MD
Legal business name
ROBERT C FLOROS DPM PA
Practice address
20833 Caleb Jones Rd
Ewell, MD 21824-9715
Phone
(410) 425-2111
NPI assigned
Nov 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Authorized official

Name
Dr. Robert C Floros, DPM
Title
Owner/President
Phone
(410) 425-2111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 01448 MD Primary

Addresses

Primary practice location

20833 Caleb Jones Rd
Ewell, MD 21824-9715

Mailing address

20833 Caleb Jones Rd
Ewell, MD 21824-9715
Phone (410) 425-2111

Other identifiers 1

IdentifierTypeStateIssuer
4784270001OtherMEDICARE IDENTIFICATION NUMBER

National Provider Directory

National Provider Directory

Locations

110 Gallagher Rd
Ste 2
Wayne, PA 19087
Phone (610) 675-9150

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": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1659673945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20833 CALEB JONES RD",
            "city": "EWELL",
            "state": "MD",
            "postal_code": "218249715",
            "telephone_number": "410-425-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20833 CALEB JONES RD",
            "city": "EWELL",
            "state": "MD",
            "postal_code": "218249715",
            "telephone_number": "410-425-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C FLOROS DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "FLOROS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "410-425-2111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION NUMBER",
            "identifier": "4784270001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.