ROBERT S SURRATT MD NPI 1831159235

NPI Information

NPI: 1831159235
Provider Name: ROBERT S SURRATT, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
7006 WENSLEY WAY
JACKSONVILLE, FL
ZIP 32217
Phone: (904) 636-0761
Get Directions

Robert S Surratt, MD is a diagnostic radiology radiology in Jacksonville, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Robert S Surratt, MD NPI is 1831159235. 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:

7006 WENSLEY WAY
JACKSONVILLE, FL
ZIP 32217-673
Phone: (904) 636-0761

The enumeration date for this NPI number is 3/28/2006 and was last updated on 12/12/2016.

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	2085B0100X	Radiology	Body Imaging	ME62464	FLORIDA	No
2	2085N0700X	Radiology	Neuroradiology	ME62464	FLORIDA	No
3	2085N0904X	Radiology	Nuclear Radiology	ME62464	FLORIDA	No
4	2085P0229X	Radiology	Pediatric Radiology	ME62464	FLORIDA	No
5	2085R0202X	Radiology	Diagnostic Radiology	ME62464	FLORIDA	Yes
6	2085R0204X	Radiology	Vascular & Interventional Radiology	ME62464	FLORIDA	No
7	2085U0001X	Radiology	Diagnostic Ultrasound	ME62464	FLORIDA	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	17891	OTHER	FLORIDA	BCBS
2	370977900	MEDICAID	FLORIDA
3	A13772	MEDICARE UPIN	FLORIDA
4	00529856A	MEDICAID	GEORGIA

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: 4/28/2024

NPI Synchronization or Removal

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