Organization Active NPI

Raymond D.Hansen M D P.a

  • Legal Medicine
  • Dunedin, FL
National Provider Identifier
1265620520
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
RAYMOND D.HANSEN M D P.A
Practice address
1972 Bayshore Blvd
Dunedin, FL 34698-2577
Phone
(727) 736-2513
Fax
(727) 734-4701
NPI assigned
Oct 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Raymond. Daniel Hansen, M.D.NPI 1306683396
Title
Owner
Phone
(727) 736-2513

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X FL Primary

Addresses

Primary practice location

1972 Bayshore Blvd
Dunedin, FL 34698-2577

Mailing address

1972 Bayshore Blvd
Dunedin, FL 34698-2577
Phone (727) 736-2513

Other identifiers 1

IdentifierTypeStateIssuer
052445000MedicaidFL

Other names 1

  • Raymond D. Hansen M D P.A Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091028000646 FL Part B Supplier - Clinic/Group Practice 5294872941 Receives reassigned benefits from 2 practitioners
Practice locations: Dunedin, FL

National Provider Directory

National Provider Directory

Locations

1972 Bayshore Blvd
Dunedin, FL 34698
Phone (727) 733-6633

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/90c1c564-ec35-4c40-b3c5-6cbeb6d0ad79/

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1265620520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1972 BAYSHORE BLVD",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346982577",
            "telephone_number": "727-736-2513",
            "fax_number": "727-734-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1972 BAYSHORE BLVD",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346982577",
            "telephone_number": "727-736-2513",
            "fax_number": "727-734-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND D.HANSEN M D P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "RAYMOND.",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-736-2513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052445000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raymond D. Hansen M D P.A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.