Individual provider Active NPI

Robert Earl Hawver, P.A.

  • Medical Physician Assistant
  • Pembroke Pines, FL
National Provider Identifier
1295900132
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
008436 Issued in FL
Practice address
10794 Pines Blvd Ste 205
Pembroke Pines, FL 33026-3920
Phone
(954) 538-8543
Fax
(954) 431-8153
NPI assigned
Apr 22, 2008
Last updated
Nov 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 008436 FL Primary

Addresses

Primary practice location

10794 Pines Blvd Ste 205
Pembroke Pines, FL 33026-3920

Mailing address

3750 NW 84TH Way
Pembroke Pines, FL 33024-5253
Phone (518) 331-6782

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
I20191219000707 FL Practitioner - Physician Assistant 4284068586 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008436FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Pulmonary-Intensivist Physician, P.C. PastSince Aug 15, 1999 Accepting new patients
Integrated Medicine, PC Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1295900132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 NW 84TH WAY",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330245253",
            "telephone_number": "518-331-6782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10794 PINES BLVD STE 205",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263920",
            "telephone_number": "954-538-8543",
            "fax_number": "954-431-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWVER",
        "first_name": "ROBERT",
        "middle_name": "EARL",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "008436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.