Active NPI
Robert T. Zabenko, DO
- General Practice Physician
- Richmond Hill, GA
National Provider Identifier
1700992633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 057864
- Practice address
- 135 Hermitage Dr
Richmond Hill, GA 31324-3834 - Phone
- (706) 399-7621
- NPI assigned
- Aug 22, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 057864 | GA | |
| Obstetrics & Gynecology Physician | 207V00000X | 9800166 | NC | |
| Obstetrics & Gynecology Physician | 207V00000X | C2-0010200 | DE | |
| General Practice Physician | 208D00000X | 057864 | GA | Primary |
Addresses
Primary practice location
135 Hermitage Dr
Richmond Hill, GA 31324-3834
Mailing address
135 Hermitage Dr
Richmond Hill, GA 31324-3834
Phone (706) 399-7621
Other practice location 1
250 Memorial Dr
Jacksonville, NC 28546-6332
Phone (910) 353-2115
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C2-0010200 | DE | MD | Obstetrics & Gynecology Physician |
| 057864 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buglisi Eye Care, PLLC | Current | Accepting new patients |
Locations
250 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-2115
Interoperability endpoints
- robert.zabenko@202362935902212.direct.elationemr.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Jacksonville, NC
- NPI 1811262579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628812800000",
"number": "1700992633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 HERMITAGE DR",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313243834",
"telephone_number": "706-399-7621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 HERMITAGE DR",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313243834",
"telephone_number": "706-399-7621"
}
],
"practiceLocations": [
{
"address_1": "250 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "NC",
"postal_code": "285466332",
"country_code": "US",
"telephone_number": "910-353-2115",
"fax_number": "910-355-2422",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZABENKO",
"first_name": "ROBERT",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2021-08-13",
"certification_date": "2021-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "057864",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "9800166",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "DE",
"license": "C2-0010200",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "057864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond Hill, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.