Individual provider Active NPI

Allen F Schultz, D.O.

  • Medical Oncology Physician
  • West Palm Beach, FL
National Provider Identifier
1164535936
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
OS3284 Issued in FL
Practice address
4700 N Congress Ave
Suite 304B
West Palm Beach, FL 33407-3282
Phone
(561) 848-1011
Fax
(561) 848-9166
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X OS3284 FL Primary

Addresses

Primary practice location

4700 N Congress Ave
Suite 304B
West Palm Beach, FL 33407-3282

Mailing address

4700 N Congress Ave
Suite 304B
West Palm Beach, FL 33407-3282
Phone (561) 848-1011

Other identifiers 1

IdentifierTypeStateIssuer
063939700MedicaidFL

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 Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1164535936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 N CONGRESS AVE",
            "address_2": "SUITE 304B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073282",
            "telephone_number": "561-848-1011",
            "fax_number": "561-848-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N CONGRESS AVE",
            "address_2": "SUITE 304B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073282",
            "telephone_number": "561-848-1011",
            "fax_number": "561-848-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "ALLEN",
        "middle_name": "F",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "OS3284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063939700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.