Active NPI
Robert W Lankford, MD
- Urology Physician
- Deland, FL
National Provider Identifier
1770534646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME0016127
- Practice address
- 685 Peachwood Dr
Deland, FL 32720-0804 - Phone
- (386) 736-3463
- NPI assigned
- May 15, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | ME0016127 | FL | Primary |
Addresses
Primary practice location
685 Peachwood Dr
Deland, FL 32720-0804
Mailing address
545 Health Blvd
Daytona Beach, FL 32114-1493
Phone (386) 239-8500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64300 | Other | BLUE SHIELD | |
| 1900418 | Other | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0016127 | FL | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770534646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 HEALTH BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321141493",
"telephone_number": "386-239-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "685 PEACHWOOD DR",
"city": "DELAND",
"state": "FL",
"postal_code": "327200804",
"telephone_number": "386-736-3463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANKFORD",
"first_name": "ROBERT",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "ME0016127",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "64300",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1900418",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Deland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.