Blane T Shatkin MD PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME0059767 Issued in FL

Legal business name

BLANE T SHATKIN MD PA

Practice address

1604 Town Center Cir
Suite C
Weston, FL 33326-3640

Phone

(954) 384-9997

Fax

(954) 384-6760

NPI assigned

Feb 8, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Blane T Shatkin, M.D.NPI 1215955653

Title

President

Phone

(954) 384-9997

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Blane T Shatkin, MD

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Pembroke Pines, FL
  • NPI 1215955653
  NPD (past) Authorized official

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

{
    "created_epoch": "1328659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1295007102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 TOWN CENTER CIR",
            "address_2": "SUITE C",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263640",
            "telephone_number": "954-384-9997",
            "fax_number": "954-384-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 TOWN CENTER CIR",
            "address_2": "SUITE C",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263640",
            "telephone_number": "954-384-9997",
            "fax_number": "954-384-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANE T SHATKIN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-08",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "SHATKIN",
        "authorized_official_first_name": "BLANE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-384-9997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME0059767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael J Bishop, PSY.D.
• Jon Jean Pierre Bissonnette, PT
• Cassann Natacha Blake, MD
• Suzette Nicole Blanco, DPT
• Rodolfo J Blandon, MD, MBA
• Paul Aaron Blankfeld, PTA
• Sandra Blet
• Stacey Blake Blicker
• Blooming Minds Psychology
• Blossom Minds LLC

• Plastic Surgery Physician in Weston, FL
• Providers in Weston, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.