Individual provider Active NPI

Robert Seth Cutler, DO

  • Colon & Rectal Surgery Physician
  • Loxahatchee, FL
National Provider Identifier
1942293519
Registry record updated May 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
OS5469 Issued in FL
Practice address
13005 Southern Blvd Ste 122
Medical Mall One, Suite 122
Loxahatchee, FL 33470-9231
Phone
(561) 842-5050
Fax
(561) 793-9989
NPI assigned
Aug 29, 2005
Reactivated
Jun 12, 2006
Last updated
May 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X OS5469 FL Primary

Addresses

Primary practice location

13005 Southern Blvd Ste 122
Medical Mall One, Suite 122
Loxahatchee, FL 33470-9231

Mailing address

13005 Southern Blvd Ste 122
Medical Mall One, Suite 122
Loxahatchee, FL 33470-9231
Phone (561) 842-5050

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040608000303 FL Practitioner - Colorectal Surgery (Proctology) 6406839968 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS0003205FLMDFamily Medicine Physician

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338163200000",
    "number": "1942293519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13005 SOUTHERN BLVD STE 122",
            "address_2": "MEDICAL MALL ONE, SUITE 122",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709231",
            "telephone_number": "561-842-5050",
            "fax_number": "561-793-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13005 SOUTHERN BLVD STE 122",
            "address_2": "MEDICAL MALL ONE, SUITE 122",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709231",
            "telephone_number": "561-842-5050",
            "fax_number": "561-793-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUTLER",
        "first_name": "ROBERT",
        "middle_name": "SETH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2012-05-28",
        "deactivation_date": "2006-04-19",
        "reactivation_date": "2006-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "OS5469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

Verify at the official NPI Registry.