Robert H Paxson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

66559 Issued in FL

Practice address

5505 N Atlantic Ave
Suite 203
Cocoa Beach, FL 32931-5111

Phone

(321) 613-0501

Fax

(321) 613-0502

NPI assigned

Feb 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 Jul 1, 2015 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1831163476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 N ATLANTIC AVE",
            "address_2": "SUITE 203",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329315111",
            "telephone_number": "321-613-0501",
            "fax_number": "321-613-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 N ATLANTIC AVE",
            "address_2": "SUITE 203",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329315111",
            "telephone_number": "321-613-0501",
            "fax_number": "321-613-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAXSON",
        "first_name": "ROBERT",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "66559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376966600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Ruth Pariente, L.AC, DIPL. O.M.
• Bhupendra V Patel, RPH
• Hetal S Patel
• Pramesh Patel, M.D.
• Shivani Patel, PA-C
• Peace Club Inc.
• Pediatrics in Brevard, P.a.
• Pediatrics in Brevard, P.a.
• Brittany Lauren Peeler, DNP
• Kristen M Pena, M.A.

• Internal Medicine Physician in Cocoa Beach, FL
• Providers in Cocoa Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.