Active NPI
Sabine Dorothy Docteur, MD PA MBA MSC.
- Physician Assistant
- Auburndale, FL
National Provider Identifier
1578210399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9548
- Practice address
- 1091 Bethpage Rd
Auburndale, FL 33823-8408 - Phone
- (407) 793-9485
- NPI assigned
- Mar 2, 2022
- Last updated
- Sep 7, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1142-P.A. | PR | |
| Physician Assistant | 363A00000X | 9548 | AZ | Primary |
Addresses
Primary practice location
1091 Bethpage Rd
Auburndale, FL 33823-8408
Mailing address
1036 Mattie Pointe Way
Auburndale, FL 33823-3758
Phone (407) 793-9485
Other names 1
- Sabine Dorothy Delma
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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
- Master of Business Administration, Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9548 | AZ | MD | Physical Therapist |
| 1142-P.A. | PR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenneth G. Lawlor, DO, PLLC | Current | Accepting new patients | |
| Prescott Healthcare Solutions LLC | Past | Accepting new patients |
Locations
1355 W White Mountain Blvd
Ste A
Lakeside, AZ 85929
Phone (928) 358-4086
3108 Clearwater Dr
Ste A
Prescott, AZ 86305
Phone (928) 717-8838
Interoperability endpoints
- sabine.docteurpa.p1@direct.prescottrheum.nextgenshare.com
Organizations & group practices 2
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.
-
- Rheumatology Physician
- Prescott, AZ
- NPI 1801100250
-
dba Optima Medical
- Family Medicine Physician
- Prescott, AZ
- NPI 1821454505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694044800000",
"number": "1578210399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1036 MATTIE POINTE WAY",
"city": "AUBURNDALE",
"state": "FL",
"postal_code": "338233758",
"telephone_number": "407-793-9485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1091 BETHPAGE RD",
"city": "AUBURNDALE",
"state": "FL",
"postal_code": "338238408",
"telephone_number": "407-793-9485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOCTEUR",
"first_name": "SABINE",
"middle_name": "DOROTHY",
"name_prefix": "Dr.",
"credential": "MD PA MBA MSC.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-02",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PR",
"license": "1142-P.A.",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "9548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SABINE",
"last_name": "DELMA",
"middle_name": "DOROTHY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Auburndale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.