Active NPI
Micha Yithak Shamir, M.D
- Anesthesiology Physician
- Miami, FL
National Provider Identifier
1417273533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- FC1650
- Practice address
- 1611 NW 12TH Ave
Central 300
Miami, FL 33136-1005 - Phone
- (305) 585-1446
- NPI assigned
- Apr 14, 2010
- Last updated
- Apr 14, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | FC1650 | FL | Primary |
Addresses
Primary practice location
1611 NW 12TH Ave
Central 300
Miami, FL 33136-1005
Mailing address
9420 Sea Turtle MNR
Plantation, FL 33324-2915
Phone (954) 382-9051
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
| License | State | Type | Specialty |
|---|---|---|---|
| FC1650 | FL | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271203200000",
"number": "1417273533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9420 SEA TURTLE MNR",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333242915",
"telephone_number": "954-382-9051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 NW 12TH AVE",
"address_2": "CENTRAL 300",
"city": "MIAMI",
"state": "FL",
"postal_code": "331361005",
"telephone_number": "305-585-1446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMIR",
"first_name": "MICHA",
"middle_name": "YITHAK",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-14",
"last_updated": "2010-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "FC1650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.