Organization Active NPI

Robert N. Baskin, MD, P.a.

  • Geriatric Medicine (Family Medicine) Physician
  • Plant City, FL
National Provider Identifier
1710369020
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
ME355305 Issued in FL
Legal business name
ROBERT N. BASKIN, MD, P.A.
Practice address
2108 N Golfview Dr
Plant City, FL 33566-6768
Phone
(813) 763-5337
NPI assigned
Jun 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Authorized official

Name
Dr. Robert Newton Baskin, MDNPI 1841252061
Title
Owner
Phone
(813) 763-5337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X ME355305 FL Primary

Addresses

Primary practice location

2108 N Golfview Dr
Plant City, FL 33566-6768

Mailing address

2108 N Golfview Dr
Plant City, FL 33566-6768
Phone (813) 763-5337

Other identifiers 1

IdentifierTypeStateIssuer
03943350MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151113000318 FL Part B Supplier - Clinic/Group Practice 9133439854 Receives reassigned benefits from 1 practitioner
Practice locations: Plant City, FL; Lakeland, FL

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.

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1710369020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 N GOLFVIEW DR",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335666768",
            "telephone_number": "813-763-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 N GOLFVIEW DR",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335666768",
            "telephone_number": "813-763-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT N. BASKIN, MD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "BASKIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NEWTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-763-5337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME355305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03943350",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.