Individual provider Active NPI

Robert P Uteg, M.D.

  • Neurological Surgery Physician
  • Hudson, FL
National Provider Identifier
1992896120
Registry record updated Oct 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME105701 Issued in FL
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

Updated by the provider on Oct 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00472372MedicaidMS

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
ME105701FLMDNeurological Surgery Physician
18342MSMDNeurological Surgery Physician
34307TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.