Rahman A Shotomiwa, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

302 NW 179TH Ave Ste 103
Pembroke Pines, FL 33029-2818

Phone

(954) 442-8380

NPI assigned

Sep 27, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506470400000",
    "number": "1306355813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18720 NW 27TH AVE APT 201",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330563200",
            "telephone_number": "786-382-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 NW 179TH AVE STE 103",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330292818",
            "telephone_number": "954-442-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOTOMIWA",
        "first_name": "RAHMAN",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-27",
        "last_updated": "2017-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela M. Shetrompf, M.S., CCC-SLP
• Stacy Holder Shewprashad, D.P.M.
• Yuexian Shi, AP, MD
• Shlomo Pascal MD PA
• Ahmed G Shoreibah, MD
• Savannah Shourds, PA-C
• Shakuntala Shrestha, APRN
• Jesse Martin Shulman, DO
• Sibling Care, Inc.
• Sican Group Incorporated

• Physician Assistant in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2017; 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.