NPIMap

Organization Active NPI

Robert B Ward MD PA

  • Surgery Physician
  • Vero Beach, FL
National Provider Identifier
1932372679
Registry record updated Sep 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME0026613 Issued in FL
Legal business name
ROBERT B WARD MD PA
Practice address
526 Bay Dr
Vero Beach, FL 32963-2107
Phone
(772) 569-5094
NPI assigned
Apr 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2008

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

Authorized official

Name
Dr. Robert B Ward, MD
Title
Owner
Phone
(772) 569-5094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X ME0026613 FL Primary

Addresses

Primary practice location

526 Bay Dr
Vero Beach, FL 32963-2107

Mailing address

526 Bay Dr
Vero Beach, FL 32963-2107
Phone (772) 569-5094

Other identifiers 1

IdentifierTypeStateIssuer
56241600MedicaidFL

Other names 1

  • INDIAN RIVER SURGICAL ASSOCIATES Former legal business name

National Provider Directory

National Provider Directory

Locations

777 37th St
Ste C105
Vero Beach, FL 32960
Phone (772) 569-5094

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1932372679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 BAY DR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632107",
            "telephone_number": "772-569-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 BAY DR",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329632107",
            "telephone_number": "772-569-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT B WARD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-569-5094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0026613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56241600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INDIAN RIVER SURGICAL ASSOCIATES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.