Raymond Daniel Hansen IV, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9118907 Issued in FL

Practice address

1972 Bayshore Blvd
Dunedin, FL 34698-2577

Phone

(727) 736-2513

NPI assigned

Jul 9, 2024

Last updated

Jul 9, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Raymond D.Hansen M D P.a

  • Legal Medicine
  • Dunedin, FL
  • NPI 1265620520
  NPD Authorized official

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1306683396",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "RAYMOND",
        "middle_name": "DANIEL",
        "name_suffix": "IV",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9118907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hands Inc
• Diana Marie Haninger, DO
• Richard Hanley
• Raymond D Hansen, III, M.D.
• Raymond D Hansen Jr., M.D.
• Maura Lynn Harris, MS, CCC-SLP
• Shaniya Chartise Harris
• Theron D Hawkins, PAC
• Kristy Lee Hay, RDN/LDN
• Christopher Michael Hayes, DC

• Physician Assistant in Dunedin, FL
• Providers in Dunedin, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.