Active NPI
Robert L Harrell III, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Wellington, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- ME134217
- Practice address
- 2211 Widener Ter
Wellington, FL 33414-6427 - Phone
- (561) 358-4282
- NPI assigned
- Jul 21, 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 |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | ME134217 | FL | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 13334 | NH | |
| Hospitalist Physician | 208M00000X | ME134217 | FL | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | ME134217 | FL | Primary |
Addresses
Primary practice location
2211 Widener Ter
Wellington, FL 33414-6427
Mailing address
2211 Widener Ter
Wellington, FL 33414-6427
Phone (561) 358-4282
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30206170 | Medicaid | NH | |
| 432337699 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Duke University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2211 Widener Ter
Wellington, FL 33414-6427
Phone (561) 358-4282
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME134217 | FL | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axis Multispecialty Group PLLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Accountable Critical Care LLC | Current | Accepting new patients | |
| Robert Lee Harrell III MD PC | Surgical Critical Care | Current | Accepting new patients |
| Alliance Family Physicians, PA | Current | Accepting new patients | |
| Florida Rehab Specialists, PLLC | Hospitalist | Current | Accepting new patients |
| Wentworth Douglass Physician Corporation | Past | Accepting new patients |
Locations (25 of 94)
1130 NW 15th St
Boca Raton, FL 33486
Phone (561) 364-6282
7900 Venture Center Way
Boynton Beach, FL 33437
Phone (561) 330-0111
1445 Howell Ave
Brooksville, FL 34601
Phone (352) 799-1451
10845 W Gem St
Crystal River, FL 34428
Phone (352) 794-7601
22900 Lyden Dr
Estero, FL 33928
Phone (239) 221-6120
8000 NW 27th Blvd
Gainesville, FL 32606
Phone (352) 373-4032
4842 SW Archer Rd
Gainesville, FL 32608
Phone (352) 367-9700
4607 NW 53rd Ave
Gainesville, FL 32653
Phone (352) 376-5151
1415 Fort Clarke Blvd
Gainesville, FL 32606
Phone (352) 325-3081
6700 NW 10th Pl
Gainesville, FL 32605
Phone (352) 240-6402
817 NW 56th Ter
Ste B
Gainesville, FL 32605
Phone (352) 331-7771
6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180
3250 SW 41st Pl
Gainesville, FL 32608
Phone (352) 378-1558
817 NW 56th Ter
Ste C
Gainesville, FL 32605
1000 SW 16th Ave
Gainesville, FL 32601
Phone (352) 376-2461
4000 SW 20th Ave
Gainesville, FL 32607
Phone (352) 377-1981
227 SW 62nd Blvd
Gainesville, FL 32607
Phone (352) 331-0601
124 W Norvell Bryant Hwy
Hernando, FL 34442
Phone (352) 249-3100
23301 NW 186th Ave
High Springs, FL 32643
Phone (386) 454-0801
8985 S Suncoast Blvd
Homosassa, FL 34446
Phone (352) 697-0705
1745 Forest Dr
Inverness, FL 34453
Phone (352) 726-5466
701 Medical Ct E
Inverness, FL 34452
Phone (352) 860-0200
5725 Spring Park Rd
Jacksonville, FL 32216
Phone (904) 302-6160
15255 Max Leggett Pkwy
Jacksonville, FL 32218
Phone (904) 383-1000
12645 Salina Dr
Jacksonville, FL 32246
Phone (904) 787-8150
Interoperability endpoints
- robert.harrell@hca5.eclinicaldirectplus.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 6
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.
-
dba RH Factor
- Surgical Critical Care Physician
- Wellington, FL
- NPI 1508526187
-
- Critical Care Medicine (Internal Medicine) Physician
- Wellington, FL
- NPI 1265897706
-
- Adult Medicine Physician
- Gainesville, FL
- NPI 1245289206
-
- Specialist
- Gainesville, FL
- NPI 1033099775
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- Diagnostic Radiology Physician
- Somersworth, NH
- NPI 1295326494
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advent Health Ocala
- General Acute Care Hospital
- Ocala, FL
- NPI 1740772268
-
dba HCA Florida Ocala Hospital
- General Acute Care Hospital
- Ocala, FL
- NPI 1841237930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664496000000",
"number": "1831110402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 WIDENER TER",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334146427",
"telephone_number": "561-358-4282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 WIDENER TER",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334146427",
"telephone_number": "561-358-4282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRELL",
"first_name": "ROBERT",
"middle_name": "L",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2022-09-30",
"certification_date": "2022-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "FL",
"license": "ME134217",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NH",
"license": "13334",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "ME134217",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "FL",
"license": "ME134217",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30206170",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432337699",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.