Organization Active NPI

Ronald S Oberman D P M PA

  • Podiatrist
  • Deerfield Beach, FL
National Provider Identifier
1366541757
Registry record updated Feb 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2135 Issued in FL
Legal business name
RONALD S OBERMAN D P M PA
Practice address
1891 W Hillsboro Blvd
Deerfield Beach, FL 33442-1401
Phone
(945) 421-9600
Fax
(954) 421-8910
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2008

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

Authorized official

Name
Dr. Ronald Stuart Oberman, D.P.M.NPI 1013904531
Title
President
Phone
(954) 421-9600

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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO2135 FL Primary

Addresses

Primary practice location

1891 W Hillsboro Blvd
Deerfield Beach, FL 33442-1401

Mailing address

1891 W Hillsboro Blvd
Deerfield Beach, FL 33442-1401
Phone (945) 421-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070801000769 FL Part B Supplier - Clinic/Group Practice 5092806281 Receives reassigned benefits from 1 practitioner
Practice locations: Deerfield Beach, FL
O20100930048121 FL DME Supplier - Physician - Podiatry 5092806281 Practice locations: Deerfield Beach, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203292800000",
    "number": "1366541757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1891 W HILLSBORO BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421401",
            "telephone_number": "945-421-9600",
            "fax_number": "954-421-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 W HILLSBORO BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421401",
            "telephone_number": "945-421-9600",
            "fax_number": "954-421-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD S OBERMAN D P M PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2008-02-18",
        "status": "A",
        "authorized_official_last_name": "OBERMAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-421-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; 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.

Verify at the official NPI Registry.