ROBERT MAIN (NPI# 1689614711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689614711 |
| Entity Type | Individual |
| Full Name | ROBERT MAIN |
| Credential | PA-C |
| Practice Address |
10762 Se Us Highway 441 Belleview FL 34420-3805 |
| Practice Telephone | 3523475225 |
| Mailing Telephone | 3523475225 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2008-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9102762 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 292334300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245383371 | Robert Joseph Main | Dentist | 1504 Sioux Dr, Marion, IL 62959-5209 | 2007-01-20 |
| Street Address |
10762 SE US HIGHWAY 441 |
| City | BELLEVIEW |
| State | FL |
| Zip Code | 34420-3805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447250857 | Belleview Community Pharmacy | Durable Medical Equipment & Medical Supplies | 10762 Se Us Highway 441, Belleview, FL 34420-3805 | 2005-07-28 |
| 1790287316 | Laura Deetz | Nurse Practitioner | 10762 Se Us Highway 441, Belleview, FL 34420-3805 | 2018-02-28 |
| 1568614303 | Mary L Lane | Nurse Practitioner | 10762 Se Us Highway 441, Belleview, FL 34420-3805 | 2008-10-10 |
| 1083890271 | Tracy Lee Riddle | Nurse Practitioner | 10762 Se Us Highway 441, Belleview, FL 34420-3805 | 2008-01-17 |
| 1902019581 | Melissa Hughes | Pharmacist | 10762 Se Us Highway 441, Belleview, FL 34420-3805 | 2007-05-08 |
| 1922027341 | Judive Jocelyn | Legal Medicine | 10762 Se Us Highway 441, Belleview, FL 34420-3805 | 2006-07-18 |
| 1265474357 | Michael Crimi Jr. | Physician Assistant | 10762 Se Us Highway 441, Belleview, FL 34420-3805 | 2006-06-12 |
| 1275597320 | Harriett Williemae Smith-mckinney | Physician Assistant | 10762 Se Us Highway 441, Belleview, FL 34420-3805 | 2006-04-14 |
| 1972581288 | Shirley A Ice | Family Medicine | 10762 Se Us Highway 441, Belleview, FL 34420-3805 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881227726 | Madison Ruth Oglesby | Behavior Technician | 10252 S Us Hwy 441 Units 3 4, Belleview, FL 34420 | 2020-02-19 |
| 1104458496 | Patricia A Jackson | Behavior Technician | 10252 S Hwy 441, Unit 3, Belleview, FL 34420 | 2020-02-05 |
| 1891251781 | Pamela M Swiss | Behavior Technician | 10252 S Hwy 441 Unit 3 and 4, Belleview, FL 34420 | 2019-02-15 |
| 1417412834 | Ashlynn Shearer | Behavior Technician | 10252 S Us Hwy 441, Units 3 & 4, Belleview, FL 34420 | 2019-02-11 |
| 1083178313 | Sheila Bush | Technician | 12791 Se 47th Ave, Belleview, FL 34420 | 2019-01-31 |
| 1124579974 | Tamara Lopez Diaz, Md. Pa | Family Medicine | 12301 Se Us Highway 441 Ste C, Belleview, FL 34420 | 2016-10-17 |
| 1780043992 | Katelyn Garrett | Registered Nurse | 11855 Se 74th Terrace, Belleview, FL 34420 | 2016-02-16 |
| 1982092458 | Tracy Mattia | Pharmacist | 11310 Se Us Hwy 301, Belleview, FL 34420 | 2015-01-06 |
| 1245666171 | Hayden Lee Durham I | Pharmacist | 10762 South Us 441, Belleview, FL 34420 | 2013-09-24 |
| 1285060608 | Cindy Marlene Merritt | Pharmacist | 10762 Se Hwy 441, Belleview, FL 34420 | 2013-09-17 |
| Find all providers in zip 34420 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275597320 | Harriett Williemae Smith-mckinney | Physician Assistant | 10762 Se Us Highway 441, Belleview, FL 34420-3805 | 2006-04-14 |
| 1164492864 | Mukti B Patel | Physician Assistant | 5051 Se 110th St, Belleview, FL 34420-3115 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.