Active NPI
Daniel Marc Hameroff, DPM
- Podiatrist
- Seminole, FL
National Provider Identifier
1013960251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO 2903
- Practice address
- 10875 Park Blvd.
Ste. C
Seminole, FL 33772 - Phone
- (727) 398-6650
- Fax
- (727) 398-6550
- NPI assigned
- May 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO 2903 | FL | Primary |
Addresses
Primary practice location
10875 Park Blvd.
Ste. C
Seminole, FL 33772
Mailing address
10863 Park Blvd
Suite a
Seminole, FL 33772-5423
Phone (727) 398-6650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO 2903 | FL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adnan Shariff, Inc | Podiatrist | Current | Accepting new patients |
| Adnan Shariff, Inc | Podiatrist | Current | Accepting new patients |
Locations
235 NE 19th Dr
Okeechobee, FL 34972
Phone (863) 357-1166
10863 Park Blvd
Ste A
Seminole, FL 33772
Phone (727) 398-6650
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 and National Provider Directory roles.
-
- Podiatrist
- Okeechobee, FL
- NPI 1457506834
-
- Podiatrist
- Boca Raton, FL
- NPI 1992470272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1013960251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10863 PARK BLVD",
"address_2": "SUITE A",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337725423",
"telephone_number": "727-398-6650",
"fax_number": "727-398-6550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10875 PARK BLVD.",
"address_2": "STE. C",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "33772",
"telephone_number": "727-398-6650",
"fax_number": "727-398-6550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMEROFF",
"first_name": "DANIEL",
"middle_name": "MARC",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO 2903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seminole, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.