NPIMap

Individual provider Active NPI

Janet M Tobin, MD PA

  • Family Medicine Physician
  • Port Charlotte, FL
National Provider Identifier
1932193307
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME62883 Issued in FL
Practice address
2400 Harbor Blvd
Ste 13
Port Charlotte, FL 33952-5052
Phone
(941) 629-3435
Fax
(941) 629-5250
NPI assigned
Aug 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME62883 FL Primary

Addresses

Primary practice location

2400 Harbor Blvd
Ste 13
Port Charlotte, FL 33952-5052

Mailing address

PO Box 510867
Punta Gorda, FL 33951-0867
Phone (941) 629-3435

Other identifiers 1

IdentifierTypeStateIssuer
18220OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041015000481 FL Practitioner - Internal Medicine 0143280057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

1940 Tamiami TRL
Suite 104
Port Charlotte, FL 33948-2105
Phone (941) 883-0083

2400 Harbor Blvd
Port Charlotte, FL 33952-5038
Phone (941) 629-3435

25097 Olympia Ave
Suite 107
Punta Gorda, FL 33950-3914
Phone (941) 205-2620

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Janet M Tobin MD PA Family Medicine CurrentSince Jul 22, 2004 Accepting new patients
Burnt Store Family Medicine P L Family Medicine Past Accepting new patients
Punta Gorda Hma LLC Past Accepting new patients

Locations

2400 Harbor Blvd
Ste 13
Pt Charlotte, FL 33952
Phone (941) 629-3435

24451 Sandhill Blvd
#B
Punta Gorda, FL 33983
Phone (941) 235-8929

Interoperability endpoints

  • Direct secure messaging: jtobin@directaddress.net
  • Direct secure messaging: jtobin@direct-address.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1932193307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510867",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339510867",
            "telephone_number": "941-629-3435",
            "fax_number": "941-629-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HARBOR BLVD",
            "address_2": "STE 13",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525052",
            "telephone_number": "941-629-3435",
            "fax_number": "941-629-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIN",
        "first_name": "JANET",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME62883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "18220",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.