Martin Shank DPM PA & Richard Nettboy DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

P02707 Issued in FL

Legal business name

MARTIN SHANK DPM PA & RICHARD NETTBOY DPM

Practice address

23061 State Road 7
Boca Raton, FL 33428-5433

Phone

(561) 482-1900

Fax

(561) 482-1094

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Martin H Shank, DPM

Title

Partner

Phone

(561) 482-1900

Specialties & licenses 1

Addresses

Other names 1

• BOCA Deerfield Podiatry Associates Doing business as

Tax ID family

Boca Deerfield Podiatry Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Martin Shank DPM PA & Richard Nettbay DPM

  • Primary Podiatric Medicine Podiatrist
  • Boca Raton, FL
  • NPI 1427131523
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Mark Nettboy, DPM

  • Podiatrist
  • Boca Raton, FL
  • NPI 1538145974

  Primary Podiatric Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063555993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23061 STATE ROAD 7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334285433",
            "telephone_number": "561-482-1900",
            "fax_number": "561-482-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23061 STATE ROAD 7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334285433",
            "telephone_number": "561-482-1900",
            "fax_number": "561-482-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN SHANK DPM PA & RICHARD NETTBOY DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHANK",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "561-482-1900",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "P02707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOCA Deerfield Podiatry Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bradley Allen Marsic, MS, LAT, ATC
• Tina Marie Marsicano, LCSW
• Estrellita Marte, PA-C
• Martin G. Bloom, MD, PA
• Martin Shank DPM PA & Richard Nettbay DPM
• Alejandra Martin
• Anna Martin, MD
• Barbara Claire Martin
• Christopher L Martin, PT
• Courtney Martin, RCSWI

• Primary Podiatric Medicine Podiatrist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Primary Podiatric Medicine Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.