Provider Demographics
NPI:1437177367
Name:RANKIN, PAYTON S (MD)
Entity Type:Individual
Prefix:DR
First Name:PAYTON
Middle Name:S
Last Name:RANKIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PAYTON
Other - Middle Name:S
Other - Last Name:BARNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 10744
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33757-8744
Mailing Address - Country:US
Mailing Address - Phone:727-532-0002
Mailing Address - Fax:
Practice Address - Street 1:8600 EASTHAVEN CT
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-5218
Practice Address - Country:US
Practice Address - Phone:727-375-7929
Practice Address - Fax:813-635-2634
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME110892207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP01121942OtherMEDICARE RAILROAD PROVIDER NUMBER
FL004003100Medicaid
FL004003100Medicaid