Organization Active NPI

Raborn MD PA

  • Specialist
  • Boynton Beach, FL
National Provider Identifier
1275728099
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0035916 Issued in FL
Legal business name
RABORN MD PA
Practice address
2800 S Seacrest Blvd
Suite 180
Boynton Beach, FL 33435-7960
Phone
(561) 369-1101
Fax
(561) 369-5066
NPI assigned
Sep 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Richard Benson Raborn, M.D.
Title
Owner
Phone
(561) 369-1101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0035916 FL Primary

Addresses

Primary practice location

2800 S Seacrest Blvd
Suite 180
Boynton Beach, FL 33435-7960

Mailing address

2800 S Seacrest Blvd
Suite 180
Boynton Beach, FL 33435-7960
Phone (561) 369-1101

Other identifiers 2

IdentifierTypeStateIssuer
1275728099OtherFLGROUP NPI
1912959891OtherFLINDIVIDUAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1275728099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S SEACREST BLVD",
            "address_2": "SUITE 180",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357960",
            "telephone_number": "561-369-1101",
            "fax_number": "561-369-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S SEACREST BLVD",
            "address_2": "SUITE 180",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357960",
            "telephone_number": "561-369-1101",
            "fax_number": "561-369-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RABORN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "RABORN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "BENSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-369-1101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0035916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1275728099",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1912959891",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.