Individual provider Active NPI

Danny Joe McLaughlin, RPA-C

  • Physician Assistant
  • Inverness, FL
National Provider Identifier
1639436264
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9107769 Issued in FL
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

Updated by the provider on Jul 3, 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 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

IdentifierTypeStateIssuer
101633100MedicaidFL
PA9107769OtherFLFLA PA LICENSE
PAX00010382OtherFLSTATE OF FLA PRESCRBING NUMBER
HR933VOtherFLMEDICARE
Y0L63OtherFLBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140228000505 FL Practitioner - Physician Assistant 2769646892 Reassigns benefits to 1 organization

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
Physician Providers Group PAGroup PAC ID 9931199940, 2 clinicians

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

LicenseStateTypeSpecialty
PA9107769FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Providers Group PA CurrentSince Aug 16, 2020 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.

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

Verify at the official NPI Registry.