Active NPI
Robin Tiffany Burns-Thigpen, PA-C
- Medical Physician Assistant
- Dover, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA 9104700
- Practice address
- 14254 Dr Martin Luther King Jr Blvd
Dover, FL 33527-4414 - Phone
- (813) 349-7700
- NPI assigned
- Sep 26, 2008
- Last updated
- Apr 14, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA 9104700 | FL | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ruskin Health Center
- Federally Qualified Health Center (FQHC)
- Ruskin, FL
- NPI 1285644799
-
dba Wimauma Community Health Center
- Federally Qualified Health Center (FQHC)
- Wimauma, FL
- NPI 1518388354
-
- Federally Qualified Health Center (FQHC)
- Ruskin, FL
- NPI 1104836600
-
dba Tom Lee Community Health Center
- Federally Qualified Health Center (FQHC)
- Dover, FL
- NPI 1144230640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239667200000",
"number": "1992955876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14254 DR. MARTIN LUTHER KING JR. BOULEVARD",
"city": "DOVER",
"state": "FL",
"postal_code": "335272902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14254 DR MARTIN LUTHER KING JR BLVD",
"city": "DOVER",
"state": "FL",
"postal_code": "335274414",
"telephone_number": "813-349-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS-THIGPEN",
"first_name": "ROBIN",
"middle_name": "TIFFANY",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-26",
"last_updated": "2009-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA 9104700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.