Robert Dickerson Rehnke, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME55774 Issued in FL

Practice address

6606 10TH Ave N
St Petersburg, FL 33710-6104

Phone

(727) 341-0337

Fax

(727) 341-0637

NPI assigned

Feb 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982739967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6606 10TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337106104",
            "telephone_number": "727-341-0337",
            "fax_number": "727-341-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6606 10TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337106104",
            "telephone_number": "727-341-0337",
            "fax_number": "727-341-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REHNKE",
        "first_name": "ROBERT",
        "middle_name": "DICKERSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME55774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rehab Therapy Outcomes LLC
• Rehabilitation Center of St Petersburg Inc
• Carisa Chantal Rehbein
• Mohamed A Rehman, M.D.
• Ernest C Rehnke, M.D.
• Ethan Paul Reid, APRN
• Jeanette B Reid, PHD
• Quiana Reid
• Ruth K Reid, RNFA
• Taguna Martinez Reid

• Plastic Surgery Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.