Individual provider Active NPI

Timothy J Schmale, MD

  • Anesthesiology Physician
  • Boca Raton, FL
National Provider Identifier
1396719654
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
90339 Issued in FL
Practice address
500 S Ocean Blvd Apt 1406
Boca Raton, FL 33432-6251
Phone
(248) 686-4067
NPI assigned
Feb 14, 2006
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 90339 FL Primary

Addresses

Primary practice location

500 S Ocean Blvd Apt 1406
Boca Raton, FL 33432-6251

Mailing address

500 S Ocean Blvd Apt 1406
Boca Raton, FL 33432-6251
Phone (248) 686-4067

Other identifiers 1

IdentifierTypeStateIssuer
143979010MedicaidMI

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
90339FLMDAnesthesiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1396719654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S OCEAN BLVD APT 1406",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334326251",
            "telephone_number": "248-686-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S OCEAN BLVD APT 1406",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334326251",
            "telephone_number": "248-686-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMALE",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "90339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143979010",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.