Active NPI
Robyn Dauerman, PA-C
- Physician Assistant
- Hollywood, FL
National Provider Identifier
1215480488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9110506
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9110506 | FL | MD | Physician Assistant |
Interoperability endpoints
- rdauerman215342@mhsdirect.net
- 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.
-
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- Hollywood, FL
- NPI 1134154214
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.