ROBERT FIETSAM JR. MD
NPI 1518003623
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Kissimmee, FL

NPI Status: Active since January 29, 2007

Contact Information

720 W OAK ST
SUITE 360
KISSIMMEE, FL
ZIP 34741
Phone: (407) 846-0090
Fax: (407) 846-0072

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  • Individual
  • Male
  • Thoracic Surgery (Cardiothoracic Vascula...

About ROBERT FIETSAM

This page provides the complete NPI Profile along with additional information for Robert Fietsam, a provider established in Kissimmee, Florida with a medical specialization in Thoracic Surgery (cardiothoracic Vascular Surgery). The healthcare provider is registered in the NPI registry with number 1518003623 assigned on January 2007. The practitioner's primary taxonomy code is 208G00000X with license number ME67888 (FL). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1518003623
Provider Name
ROBERT FIETSAM JR. MD
Gender
Male
Entity Type
Individual
Location Address
720 W OAK ST SUITE 360 KISSIMMEE, FL 34741
Location Phone
(407) 846-0090
Location Fax
(407) 846-0072
Mailing Address
6006 49TH ST N SUITE 310 ST PETERSBURG, FL 33709
Mailing Phone
(727) 527-9779
Mailing Fax
(407) 846-0072
Is Sole Proprietor?
No
Enumeration Date
01-29-2007
Last Update Date
07-17-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Code
208G00000X
Type
Allopathic & Osteopathic Physicians
License No.
ME67888
License State
FL
Taxonomy Description
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G05484MEDICARE UPIN (02)NC 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1518003623
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
252800664
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 0 + 0 + 6 + 6 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1518003623 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518914555HOME HEALTH AGENCY- BREVARD, LLC
Organization
Home Health720 W OAK ST SUITE 303
KISSIMMEE, FL 34741
(407) 933-1400
1114959111OSCEOLA NEUROLOGICAL ASSOCIATES LLC
Organization
Psychiatry & Neurology (Neurology)720 W OAK ST SUITE 150
KISSIMMEE, FL 34741
(407) 847-4616
1528112950RETINA MACULA SPECIALISTS PLLC
Organization
Ophthalmology720 W OAK ST SUITE 301
KISSIMMEE, FL 34741
(407) 931-1510
1134304884RETINA MACULA SPECIALISTS PLLC
Organization
Specialist720 W OAK ST SUITE 301
KISSIMMEE, FL 34741
(407) 931-1510
1063671089ORLANDO INFECTIOUS DISEASE CONSULTANCY SERVICES PL
Organization
Internal Medicine (Infectious Disease)720 W OAK ST
KISSIMMEE, FL 34741
(407) 350-5719
1912214941HELEN KRAUS MD PA
Organization
Surgery (Plastic and Reconstructive Surgery)720 W OAK ST SUITE 105
KISSIMMEE, FL 34741
(407) 483-9330
1083921860MEDOZ PHARMACY OF OSCEOLA INC
Organization
Pharmacy (Community/Retail Pharmacy)720 W OAK ST STE 114
KISSIMMEE, FL 34741
(407) 374-2550
1366493892 ALAN CLAYTON BROCKHURST MD
Individual
Surgery720 W OAK ST STE. 101
KISSIMMEE, FL 34741
(407) 846-3166
1184727414 RUSSELL RAYMOND JAICKS M.D.
Individual
Surgery720 W OAK ST SUITE 101
KISSIMMEE, FL 34741
(407) 846-3166
1417035510 GUSTAVO ARRIOLA M.D.
Individual
Neurological Surgery720 W OAK ST STE 312
KISSIMMEE, FL 34741
(407) 847-0113
1790056760 EDDID DAVID COLON CRUZ M.D
Individual
Emergency Medicine720 W OAK ST
KISSIMMEE, FL 34741
(407) 518-3801
1619933728 IRFAN SIDDIQUE M.D
Individual
Internal Medicine720 W OAK ST SUITE 312
KISSIMMEE, FL 34741
(407) 944-1800
1104909480MR. HASSAN EMANUEL FLOWERS PA-C
Individual
Physician Assistant (Medical)720 W OAK ST SUITE 101
KISSIMMEE, FL 34741
(407) 343-7799
1447798954HUNALDO J. VILLALOBOS, M.D., P.A.
Organization
Neurological Surgery720 W OAK ST SUITE 111
KISSIMMEE, FL 34741
(407) 288-8638
1760973440DR. MOUHAMED DIOP M.D.
Individual
Student in an Organized Health Care Education/Training Program720 W OAK ST
KISSIMMEE, FL 34741
(434) 924-2150
1992850846ORLANDO INFECTIOUS DISEASE CONSULTANCY SERVICES, PL
Organization
Internal Medicine (Infectious Disease)720 W OAK ST SUITE 111
KISSIMMEE, FL 34741
(407) 855-2619
1346815198 KATRINA TELLEZ PA-C
Individual
Physician Assistant720 W OAK ST
KISSIMMEE, FL 34741
(407) 846-0090
1770232191 DAVID CHARLES MELTON
Individual
Student in an Organized Health Care Education/Training Program720 W OAK ST
KISSIMMEE, FL 34741
(321) 697-1733
1912647512 JUAN THOMAS DELCALVO
Individual
Student in an Organized Health Care Education/Training Program720 W OAK ST
KISSIMMEE, FL 34741
(407) 518-2772
1003441254 ANDJELA NEMCEVIC
Individual
Student in an Organized Health Care Education/Training Program720 W OAK ST SUITE 201
KISSIMMEE, FL 34741
(407) 518-3347

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518003623, enumerated in the NPI registry as an "individual" on January 29, 2007

The provider is located at 720 W Oak St Suite 360 Kissimmee, Fl 34741 and the phone number is (407) 846-0090

The provider's speciality is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 29, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.