Active NPI
Ira Shafran, M.D.
- Gastroenterology Physician
- Winter Park, FL
National Provider Identifier
1336124296
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Nov 19, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME0033950
- Practice address
- 701 W Morse Blvd
Winter Park, FL 32789-3731 - Phone
- (407) 629-8121
- Fax
- (407) 629-7250
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME0033950 | FL | Primary |
Addresses
Primary practice location
701 W Morse Blvd
Winter Park, FL 32789-3731
Mailing address
701 W Morse Blvd
Winter Park, FL 32789-3731
Phone (407) 629-8121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME0033950 | Other | FL | STATE LICENSE |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192060800000",
"number": "1336124296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 W MORSE BLVD",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327893731",
"telephone_number": "407-629-8121",
"fax_number": "407-629-7250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W MORSE BLVD",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327893731",
"telephone_number": "407-629-8121",
"fax_number": "407-629-7250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFRAN",
"first_name": "IRA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2007-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME0033950",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "ME0033950",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.