Active NPI
Leslie Shawn D.O. P.a.
- Adult Medicine Physician
- Pembroke Pines, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- LESLIE SHAWN D.O. P.A.
- Practice address
- 400 N Hiatus Rd
Suite 201
Pembroke Pines, FL 33026-5214 - Phone
- (954) 442-3434
- Fax
- (954) 441-4425
- NPI assigned
- Apr 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leslie Gordon Shawn, D.O.
- Title
- Physician
- Phone
- (954) 442-3434
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | Primary |
Addresses
Primary practice location
400 N Hiatus Rd
Suite 201
Pembroke Pines, FL 33026-5214
Mailing address
400 N Hiatus Rd
Suite 201
Pembroke Pines, FL 33026-5214
Phone (954) 442-3434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
500 N Hiatus Rd
Ste 203
Pembroke Pines, FL 33026
Phone (954) 442-3434
400 N Hiatus Rd
Ste 201
Pembroke Pines, FL 33026
Phone (954) 442-3434
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Pembroke Pines, FL
- NPI 1922057009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302048000000",
"number": "1295024636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N HIATUS RD",
"address_2": "SUITE 201",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330265214",
"telephone_number": "954-442-3434",
"fax_number": "954-441-4425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N HIATUS RD",
"address_2": "SUITE 201",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330265214",
"telephone_number": "954-442-3434",
"fax_number": "954-441-4425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LESLIE SHAWN D.O. P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-06",
"last_updated": "2011-04-06",
"status": "A",
"authorized_official_last_name": "SHAWN",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "GORDON",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "954-442-3434",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.