Individual provider Active NPI

Robyn Dauerman, PA-C

  • Physician Assistant
  • Hollywood, FL
National Provider Identifier
1215480488
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9110506 Issued in FL
Practice address
4340 Sheridan St Ste 201
Hollywood, FL 33021-3568
Phone
(954) 989-9998
Fax
(954) 989-9979
NPI assigned
Jul 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9110506 FL Primary

Addresses

Primary practice location

4340 Sheridan St Ste 201
Hollywood, FL 33021-3568

Mailing address

316 SW 14TH Ave
Fort Lauderdale, FL 33312-7547
Phone (954) 775-5378

Other names 1

  • Robyn Maisner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180523002871 FL Practitioner - Physician Assistant 3678838554 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9110506FLMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: rdauerman215342@mhsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/HFBIAA/Endpoint/HFBIAA

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1215480488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 SW 14TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333127547",
            "telephone_number": "954-775-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 SHERIDAN ST STE 201",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213568",
            "telephone_number": "954-989-9998",
            "fax_number": "954-989-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAUERMAN",
        "first_name": "ROBYN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-25",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9110506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBYN",
            "last_name": "MAISNER",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.