Individual provider Active NPI

Robert Thomas Huey, PA

  • Physician Assistant
  • Tampa, FL
National Provider Identifier
1942581459
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9101224 Issued in FL
Practice address
5635 Hoover Blvd
Tampa, FL 33634-5300
Phone
(813) 289-0445
Fax
(813) 282-0107
NPI assigned
Aug 30, 2011
Last updated
Feb 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9101224 FL Primary

Addresses

Primary practice location

5635 Hoover Blvd
Tampa, FL 33634-5300

Mailing address

5635 Hoover Blvd
Tampa, FL 33634-5300
Phone (813) 289-0445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9101224FLMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1942581459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 HOOVER BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345300",
            "telephone_number": "813-289-0445",
            "fax_number": "813-282-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 HOOVER BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336345300",
            "telephone_number": "813-289-0445",
            "fax_number": "813-282-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUEY",
        "first_name": "ROBERT",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-30",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.