Organization Active NPI

Vera M Robert MD DO PA

  • Family Medicine Physician
  • Naples, FL
National Provider Identifier
1962573295
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VERA M ROBERT MD DO PA
Practice address
12565 Collier Blvd
Naples, FL 34116-5243
Phone
(239) 455-9919
Fax
(239) 455-9906
NPI assigned
Nov 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
Vera M Robert, DO
Title
Owner Physician
Phone
(239) 455-9919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

12565 Collier Blvd
Naples, FL 34116-5243

Mailing address

2110 19TH St SW
Naples, FL 34117-4724
Phone (239) 353-1015

Other identifiers 1

IdentifierTypeStateIssuer
261875300MedicaidFL

Other names 1

  • COLLIER BOULEVARD MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

12565 Collier Blvd
Naples, FL 34116
Phone (239) 348-1825

Practitioners & affiliated clinicians

Practitioners 2

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": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1962573295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 19TH ST SW",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341174724",
            "telephone_number": "239-353-1015",
            "fax_number": "239-455-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12565 COLLIER BLVD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341165243",
            "telephone_number": "239-455-9919",
            "fax_number": "239-455-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERA M ROBERT MD DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "ROBERT",
        "authorized_official_first_name": "VERA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "239-455-9919",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261875300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLLIER BOULEVARD MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.