Individual provider Active NPI

Sabine Dorothy Docteur, MD PA MBA MSC.

  • Physician Assistant
  • Auburndale, FL
National Provider Identifier
1578210399
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9548 Issued in AZ
Practice address
1091 Bethpage Rd
Auburndale, FL 33823-8408
Phone
(407) 793-9485
NPI assigned
Mar 2, 2022
Last updated
Sep 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230922003278 AZ Practitioner - Physician Assistant 3577917699 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
9548AZMDPhysical Therapist
1142-P.A.PRMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth G. Lawlor, DO, PLLC CurrentSince Aug 21, 2023 Accepting new patients
Prescott Healthcare Solutions LLC PastSince Apr 9, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.