Active NPI
Michael Bryan Shulman, CSA
- Surgical Assistant
- Boynton Beach, FL
National Provider Identifier
1407160948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Practice address
- 1035 Gateway Blvd
Suite 201-172
Boynton Beach, FL 33426-8349 - Phone
- (561) 523-0623
- NPI assigned
- Jul 27, 2010
- 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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | Primary |
Addresses
Primary practice location
1035 Gateway Blvd
Suite 201-172
Boynton Beach, FL 33426-8349
Mailing address
1035 Gateway Blvd
Suite 201-172
Boynton Beach, FL 33426-8349
Phone (561) 523-0623
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Surgical Assisting, Inc | Surgical Assistant | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgical Assistant
- Boynton Beach, FL
- NPI 1932478534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347926400000",
"number": "1407160948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 GATEWAY BLVD",
"address_2": "SUITE 201-172",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334268349",
"telephone_number": "561-523-0623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 GATEWAY BLVD",
"address_2": "SUITE 201-172",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334268349",
"telephone_number": "561-523-0623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULMAN",
"first_name": "MICHAEL",
"middle_name": "BRYAN",
"name_prefix": "Mr.",
"credential": "CSA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-27",
"last_updated": "2012-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.