Active NPI
Proactive Medical Solutions PLLC
- Clinic/Center
- Boca Raton, FL
National Provider Identifier
1003398520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- OS14167
- Legal business name
- PROACTIVE MEDICAL SOLUTIONS PLLC
- Practice address
- 17808 Key Vista Way
Boca Raton, FL 33496-1040 - Phone
- (646) 456-4407
- Fax
- (888) 254-2756
- NPI assigned
- Aug 31, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charlene Monica Scheim, DO
- Title
- Owner
- Phone
- (646) 456-4407
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | OS14167 | FL | Primary |
Addresses
Primary practice location
17808 Key Vista Way
Boca Raton, FL 33496-1040
Mailing address
17808 Key Vista Way
Boca Raton, FL 33496-1040
Phone (646) 456-4407
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326122813 | Other | INDIVIDUAL NPI |
National Provider Directory
National Provider Directory- Tax ID family
- Proactive Medical Solutions PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Boca Raton, FL
- NPI 1619456746
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Davie, FL
- NPI 1326122813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1535673600000",
"number": "1003398520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17808 KEY VISTA WAY",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334961040",
"telephone_number": "646-456-4407",
"fax_number": "888-254-2756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17808 KEY VISTA WAY",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334961040",
"telephone_number": "646-456-4407",
"fax_number": "888-254-2756"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROACTIVE MEDICAL SOLUTIONS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-31",
"last_updated": "2018-08-31",
"status": "A",
"authorized_official_last_name": "SCHEIM",
"authorized_official_first_name": "CHARLENE",
"authorized_official_middle_name": "MONICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "646-456-4407",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "FL",
"license": "OS14167",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1326122813",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.