Active NPI
Danny Joe McLaughlin, RPA-C
- Physician Assistant
- Inverness, FL
National Provider Identifier
1639436264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9107769
- Practice address
- 305 S Line Ave
Inverness, FL 34452-4605 - Phone
- (352) 344-4791
- Fax
- (352) 344-3822
- NPI assigned
- Apr 20, 2012
- Sex
- Male
- 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 | 015566 | NY | |
| Physician Assistant | 363A00000X | PA9107769 | FL | Primary |
Addresses
Primary practice location
305 S Line Ave
Inverness, FL 34452-4605
Mailing address
PO Box 1925
Lady Lake, FL 32158-1925
Phone (352) 553-4075
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101633100 | Medicaid | FL | |
| PA9107769 | Other | FL | FLA PA LICENSE |
| PAX00010382 | Other | FL | STATE OF FLA PRESCRBING NUMBER |
| HR933V | Other | FL | MEDICARE |
| Y0L63 | Other | FL | BLUE SHIELD FLORIDA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
305 S Line Ave
Inverness, FL 34452-4605
Phone (352) 344-4791
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9107769 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Providers Group PA | Current | Accepting new patients | |
| Robert Ulseth LLC | Past | Accepting new patients |
Locations
3120 SW 27th Ave
Ste 300
Ocala, FL 34471
Phone (352) 351-0006
Networks
- Freedom Health HMO Network
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 and National Provider Directory roles.
-
- Specialist
- Inverness, FL
- NPI 1720073216
-
- Specialist
- Ocala, FL
- NPI 1396200283
-
- Specialist
- Inverness, FL
- NPI 1891744694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1639436264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1925",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321581925",
"telephone_number": "352-553-4075",
"fax_number": "888-770-3208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 S LINE AVE",
"city": "INVERNESS",
"state": "FL",
"postal_code": "344524605",
"telephone_number": "352-344-4791",
"fax_number": "352-344-3822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLAUGHLIN",
"first_name": "DANNY",
"middle_name": "JOE",
"name_prefix": "Mr.",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-20",
"last_updated": "2023-07-03",
"certification_date": "2023-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "015566",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9107769",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101633100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLA PA LICENSE",
"identifier": "PA9107769",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF FLA PRESCRBING NUMBER",
"identifier": "PAX00010382",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "HR933V",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD FLORIDA",
"identifier": "Y0L63",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Inverness, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.