MR. ROBERT MARTIN DIANA P.A. NPI 1053348490

NPI Information

NPI: 1053348490
Provider Name: MR. ROBERT MARTIN DIANA, P.A.
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: WEST FLORIDA CARDIOLOGY NETWORK, LLC

PECOS Registration: Yes

Address:
270 S MOON AVE
BRANDON, FL
ZIP 33511
Phone: (813) 571-9988
Get Directions

MR. Robert Martin Diana, P.A. is a surgical physician assistant in Brandon, FL with 18 years of experience. MR. Robert Martin Diana, P.A. NPI is 1053348490. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

270 S MOON AVE
BRANDON, FL
ZIP 33511-711
Phone: (813) 571-9988

The NPI 1053348490 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 9/20/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		10034	MINNESOTA	No
2	363AS0400X	Physician Assistant	Surgical	3668	ARIZONA	No
3	363AS0400X	Physician Assistant	Surgical		TEXAS	No
4	363AS0400X	Physician Assistant	Surgical	PA9109572	FLORIDA	Yes
5	363A00000X	Physician Assistant		PA09406	TEXAS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	695T1DI	OTHER	MINNESOTA	BCBS
2	01-06807	OTHER	MINNESOTA	MEDICA CHOICE
3	HP58138	OTHER	MINNESOTA	HEALTHPARTNERS
4	278121	MEDICAID	ARIZONA
5	1045684	OTHER	MINNESOTA	PREFERRED ONE
6	135523	OTHER	MINNESOTA	UCARE
7	2407141	OTHER	MINNESOTA	ARAZ
8	01-22334	OTHER	MINNESOTA	MEDICA PRIMARY
9	Q55660	MEDICARE UPIN	MINNESOTA
10	P00455556	OTHER	ARIZONA	RR MEDICARE
11	Z118762	OTHER	ARIZONA	MEDICARE
12	487448000	MEDICAID	MINNESOTA
13	4307120	MEDICAID	MONTANA
14	970002400	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA	MN MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »