Active NPI
Stanley S Shama, DPM
- Orthopaedic Foot and Ankle Surgery Physician
- Temple Terrace, FL
National Provider Identifier
1124090501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- PO1469
- Practice address
- 232 Bullard Pkwy
Temple Terrace, FL 33617-5512 - Phone
- (813) 985-2811
- Fax
- (813) 985-3045
- NPI assigned
- Feb 1, 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 |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | PO1469 | FL | Primary |
Addresses
Primary practice location
232 Bullard Pkwy
Temple Terrace, FL 33617-5512
Mailing address
232 Bullard Pkwy
Temple Terrace, FL 33617
Phone (813) 985-2811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 058732000 | Medicaid | FL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliated Foot & Ankle Providers, Inc | Current | Accepting new patients |
Locations
232 Bullard Pkwy
Temple Terrace, FL 33617
Phone (813) 985-1665
Organizations & group practices 1
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.
-
- Preferred Provider Organization
- Temple Terrace, FL
- NPI 1568015865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279238400000",
"number": "1124090501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 BULLARD PKWY",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "33617",
"telephone_number": "813-985-2811",
"fax_number": "813-985-3045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 BULLARD PKWY",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336175512",
"telephone_number": "813-985-2811",
"fax_number": "813-985-3045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMA",
"first_name": "STANLEY",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2010-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "FL",
"license": "PO1469",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "058732000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Temple Terrace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.