Individual provider Active NPI

Robert Leon Masson, M.D.

  • Neurological Surgery Physician
  • Ocoee, FL
National Provider Identifier
1720030273
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME0063598 Issued in FL
Practice address
2706 Rew Cir
Ocoee, FL 34761-4215
Phone
(407) 649-8585
Fax
(407) 649-0151
NPI assigned
May 16, 2006
Last updated
Mar 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME0063598 FL Primary

Addresses

Primary practice location

2706 Rew Cir
Ocoee, FL 34761-4215

Mailing address

2706 Rew Cir
Ocoee, FL 34761-4215
Phone (407) 649-8585

Other identifiers 3

IdentifierTypeStateIssuer
261301OtherFLAVMED PIN
140006700OtherFLMEDICARE RAILROAD PIN
46474OtherFLBLUE CROSS BLUE SHIELD

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2023 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0063598FLMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Global Microsurgical Center of Park City LLC Current Accepting new patients
Global Microsurgical Center LLC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2706 Rew Cir
Ste 100
Ocoee, FL 34761
Phone (407) 649-8585

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1720030273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 REW CIR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614215",
            "telephone_number": "407-649-8585",
            "fax_number": "407-649-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 REW CIR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614215",
            "telephone_number": "407-649-8585",
            "fax_number": "407-649-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSON",
        "first_name": "ROBERT",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME0063598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED PIN",
            "identifier": "261301",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PIN",
            "identifier": "140006700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "46474",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.