Active NPI
Robert P Uteg, M.D.
- Neurological Surgery Physician
- Hudson, FL
National Provider Identifier
1992896120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- ME105701
- Practice address
- 7315 Hudson Av.
Hudson, FL 34667 - Phone
- (727) 868-9563
- Fax
- (727) 869-6909
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 18342 | MS | |
| Neurological Surgery Physician | 207T00000X | ME105701 | FL | Primary |
Addresses
Primary practice location
7315 Hudson Av.
Hudson, FL 34667
Mailing address
P.O. Box 5515
Hudson, FL 34674-5515
Phone (727) 868-9563
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00472372 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2014 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME105701 | FL | MD | Neurological Surgery Physician |
| 18342 | MS | MD | Neurological Surgery Physician |
| 34307 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Dominic Medical Associates LLC | Past | Accepting new patients | |
| St. Dominic Jackson Memorial | Past | Accepting new patients | |
| St. Dominic Medical Associates LLC | Past | Accepting new patients | |
| Gcoc Physical Therapy | Past | Accepting new patients | |
| Gulf Coast Orthopedic Center | Neurological Surgery | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Hudson, FL
- NPI 1861546061
-
- Orthopaedic Surgery of the Spine Physician
- Hudson, FL
- NPI 1487765566
Neurological Surgery
-
dba St. Dominic Family Practice Associates-Jackson
- Family Nurse Practitioner
- Jackson, MS
- NPI 1508263179
-
- Emergency Medicine Physician
- Jackson, MS
- NPI 1235173691
-
dba Family Practice Associates
- Family Medicine Physician
- Flowood, MS
- NPI 1710040712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507852800000",
"number": "1992896120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 5515",
"city": "HUDSON",
"state": "FL",
"postal_code": "346745515",
"telephone_number": "727-868-9563",
"fax_number": "727-869-6909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7315 HUDSON AV.",
"city": "HUDSON",
"state": "FL",
"postal_code": "34667",
"telephone_number": "727-868-9563",
"fax_number": "727-869-6909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UTEG",
"first_name": "ROBERT",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2017-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MS",
"license": "18342",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "FL",
"license": "ME105701",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00472372",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.