Robyn Deranger Daugherty, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD.203151 Issued in LA

Practice address

4212 Bluebonnet Blvd Ste a
Baton Rouge, LA 70809-9675

Phone

(225) 399-0001

NPI assigned

Jun 12, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Dr. Robyn Lee Deranger Former name

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Robyn Daugherty MD LLC

  • Plastic Surgery Physician
  • Baton Rouge, LA
  • NPI 1972254720
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1104086271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1542 TULANE AVENUE ROOM 734 A",
            "address_2": "LSUHSC DEPARTMENT OF SURGERY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70112",
            "telephone_number": "504-568-4760",
            "fax_number": "504-568-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 BLUEBONNET BLVD STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708099675",
            "telephone_number": "225-399-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42078 Veterans Ave Ste H",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031490",
            "country_code": "US",
            "telephone_number": "985-902-7770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "921 S Range Ave",
            "address_purpose": "LOCATION",
            "city": "Denham Springs",
            "state": "LA",
            "postal_code": "707264803",
            "country_code": "US",
            "telephone_number": "225-900-7002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAUGHERTY",
        "first_name": "ROBYN",
        "middle_name": "DERANGER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-12",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "MD.203151",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "LA",
            "license": "MD.203151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBYN",
            "last_name": "DERANGER",
            "middle_name": "LEE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samita Sumi Das, M.S. M.D./MBA
• Thirumalini Dasari, MD
• Harrison Roland Daste, M.D.
• Hannah Rose Dau, OTR/L
• Ray Scott Daugherty Jr., MD
• Francis Ralph Dauterive, M.D.
• Virginia Ruth Dauterive, MSW, CSW
• Amar Dave, MD
• Amar Harshad Dave, M.D.
• Christopher Davenport

• Plastic Surgery Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Plastic Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.