Robin Tiffany Burns-Thigpen, PA-C
Individual provider Active NPI Medical Physician Assistant · Dover, FL
NPI 1992955876 · NPPES record last updated Apr 14, 2009
Key facts
- NPI
- 1992955876
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA 9104700 (FL)
- Practice address
- 14254 Dr Martin Luther King Jr Blvd
Dover, FL 33527-4414 - Phone
- (813) 349-7700
- NPI assigned
- Sep 26, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Suncoast Community Health Centers Inc
Practice addresses (Care Compare)
14254 Martin Luther King Blvd
Dover, FL 33527-4414
Phone (813) 653-6100
14254 Sr
Suite 574
Dover, FL 33527-4414
Phone (813) 653-6100
801 E Baker St
Plant City, FL 33563-3652
Phone (813) 653-6100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141110001191 | FL | Practitioner - Physician Assistant | 3072735992 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 9104700 | FL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suncoast Community Health Centers Inc | Current |
Accepting new patients | |
| Suncoast Community Health Centers, Inc | Current |
Accepting new patients | |
| Suncoast Community Health Centers Inc | Past | Accepting new patients | |
| Suncoast Community Health Centers Inc | Past | Accepting new patients |
Locations
14254 Martin Luther King Blvd
Dover, FL 33527
Phone (813) 349-7700
801 E Baker St
Plant City, FL 33563
Phone (813) 349-7649
13110 Elk Mountain Dr
Riverview, FL 33579
Phone (813) 349-7567
2814 14th Ave SE
Ruskin, FL 33570
Phone (813) 349-7800
Interoperability endpoints
- robin.burnsthigpen@suncoastchc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 9104700 | FL | Yes |
Addresses
Primary practice location
14254 Dr Martin Luther King Jr Blvd
Dover, FL 33527-4414
Mailing address
14254 Dr. Martin Luther King Jr. Boulevard
Dover, FL 33527-2902
Other providers in Dover, FL
- Brianna Lee Ballard
- Barefoot Birth
- Kathleen Louise Barlow
- Charla Barron
- Yessica Bueno
- Donald Cawood
- Megan A Chapman
- Shelly Chapman
- Christian Counseling Center
- Brett Coleman
All providers in Dover, FL · Medical Physician Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.