NPIMap

Individual provider Active NPI

Andrew Charles Shatz, M.D.

  • Ophthalmology Physician
  • Sunrise, FL
National Provider Identifier
1013974427
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME106417 Issued in FL
Practice address
1601 Sawgrass Corporate Pkwy Ste 430
Sunrise, FL 33323
Phone
(954) 653-0100
Fax
(954) 607-5977
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 047023 GA
Ophthalmology Physician 207W00000X ME106417 FL Primary

Addresses

Primary practice location

1601 Sawgrass Corporate Pkwy Ste 430
Sunrise, FL 33323

Mailing address

1601 Sawgrass Corporate Pkwy
Suite 410a
Sunrise, FL 33323-2883
Phone (954) 653-0100

Other identifiers 1

IdentifierTypeStateIssuer
00825415FMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME106417FLMDOphthalmology Physician
047023GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Ophthalmology Referral Center, LLC Ophthalmology Past Accepting new patients
Jonathan Woolfson, MD, PC Ophthalmology Past Accepting new patients
Georgia Ophthalmology Referral Center, LLC Ophthalmology Past Accepting new patients
Georgia Ophthalmology Referral Center, LLC Ophthalmology Past Accepting new patients
Georgia Ophthalmology Referral Center, LLC Ophthalmology Past Accepting new patients

Organizations & group practices 5

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1013974427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 SAWGRASS CORPORATE PKWY",
            "address_2": "SUITE 410A",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232883",
            "telephone_number": "954-653-0100",
            "fax_number": "954-607-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SAWGRASS CORPORATE PKWY STE 430",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "33323",
            "telephone_number": "954-653-0100",
            "fax_number": "954-607-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHATZ",
        "first_name": "ANDREW",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "047023",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME106417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00825415F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.

Verify at the official NPI Registry.