Organization Active NPI

Robin Rahm MD PA

  • Surgery Physician
  • Lake Mary, FL
National Provider Identifier
1780870071
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
171878 Issued in FL
Legal business name
ROBIN RAHM MD PA
Practice address
4106 W Lake Mary Blvd
Suite 213
Lake Mary, FL 32746-3315
Phone
(407) 829-2020
Fax
(407) 829-2098
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Authorized official

Name
Robin Rahm, M.D.
Title
President
Phone
(407) 829-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 171878 FL Primary

Addresses

Primary practice location

4106 W Lake Mary Blvd
Suite 213
Lake Mary, FL 32746-3315

Mailing address

4106 W Lake Mary Blvd
Suite 213
Lake Mary, FL 32746-3315
Phone (407) 829-2020

National Provider Directory

National Provider Directory

Locations

4106 W Lake Mary Blvd
Ste 213
Lake Mary, FL 32746
Phone (321) 843-2100

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1780870071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4106 W LAKE MARY BLVD",
            "address_2": "SUITE 213",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463315",
            "telephone_number": "407-829-2020",
            "fax_number": "407-829-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 W LAKE MARY BLVD",
            "address_2": "SUITE 213",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463315",
            "telephone_number": "407-829-2020",
            "fax_number": "407-829-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBIN RAHM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "RAHM",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-829-2020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "171878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.