Active NPI
Julie Rose Shamas, M.D.
- Emergency Medicine Physician
- Winter Haven, FL
National Provider Identifier
1346211349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME82192
- Practice address
- 200 Avenue F NE
Winter Haven Hospital
Winter Haven, FL 33881-4131 - Phone
- (863) 293-1121
- NPI assigned
- Jan 28, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME82192 | FL | Primary |
Addresses
Primary practice location
200 Avenue F NE
Winter Haven Hospital
Winter Haven, FL 33881-4131
Mailing address
PO Box 44008
Ufjp Emergency Medicine
Jacksonville, FL 32231-4008
Phone (904) 244-3660
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00061794 | Other | FL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME82192 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians of Pinellas PA | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians of St Petersburg PA | Emergency Medicine | Current | Accepting new patients |
Locations
3070 Grand Ave
Pinellas Park, FL 33782
Phone (727) 553-7300
701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Pinellas Park, FL
- NPI 1023590056
-
- Emergency Medicine Physician
- St Petersburg, FL
- NPI 1851726566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188172800000",
"number": "1346211349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 44008",
"address_2": "UFJP EMERGENCY MEDICINE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322314008",
"telephone_number": "904-244-3660",
"fax_number": "904-244-3425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 AVENUE F NE",
"address_2": "WINTER HAVEN HOSPITAL",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814131",
"telephone_number": "863-293-1121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMAS",
"first_name": "JULIE",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-28",
"last_updated": "2007-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME82192",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00061794",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.