Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336159656 Individual Practitioner Male Practitioner

Dr. Robert W Nickeson , MD

Pediatrics • Tampa, FL

Professional Overview & Biography Verified Profile Summary

Dr. Robert Nickeson, MD is a registered healthcare professional specializing in Pediatrics in Tampa, FL. Practice services are available at 12901 BRUCE B DOWNS BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12901 Bruce B Downs Blvd

Tampa, FL 336124742

Telephone 8139742201
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Tampa, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.4 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
239 Specialists

Practicing in Tampa, FL (4160 Statewide)

Telehealth Adoption Rate
1.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License FL ME63183

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
371971500 (FL)
Commercial Insurance / Payer ID Blue Cross Blue Shield
18473 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003071713

Doctor of Medicine (M.D.)

Dr. Steven Ford , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1003108614

Doctor of Medicine (M.D.)

Dr. Nicholas Wagner , MD

Student in an Organized Health Care Education/Training Program

NPI 1003583642

Doctor of Medicine (M.D.)

Dr. Michael Cisneros , MD

Student in an Organized Health Care Education/Training Program

NPI 1003619784

Doctor of Medicine (M.D.)

Lidia Lopez

Student in an Organized Health Care Education/Training Program

NPI 1003668419
Dr. Natalie Bales , MD

Student in an Organized Health Care Education/Training Program

NPI 1003668450

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 23, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location October 23, 2009

Registered at 12901 BRUCE B DOWNS BLVD, TAMPA, FL 336124742 (Tel: 8139742201)

📍
Updated Business Mailing Address October 23, 2009

Registered at PO BOX 917770, ORLANDO, FL 328917770

👤
Provider Name / Credentials Updated October 23, 2009

Recorded as ROBERT NICKESON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2009

Pediatrics (License #ME63183 in FL)

🟢
Initial NPI Registration & Enumeration August 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336159656
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2006
Last Update: October 23, 2009
Sole Proprietor: No

Mailing Address

Po Box 917770

Orlando, FL 328917770

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.