Individual provider Active NPI

Christopher Shea Virtue, M.D.

  • Specialist
  • Boca Raton, FL
National Provider Identifier
1447465133
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME23265 Issued in FL
Practice address
30 SE 6TH St
Boca Raton, FL 33432-6016
Phone
(561) 395-6704
Fax
(561) 362-9044
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME23265 FL Primary

Addresses

Primary practice location

30 SE 6TH St
Boca Raton, FL 33432-6016

Mailing address

30 SE 6TH St
Boca Raton, FL 33432-6016
Phone (561) 395-6704

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160314001736 FL Order and Referring Only - DermatologyPractitioner - Dermatology 6204132434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23265FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447465133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SE 6TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334326016",
            "telephone_number": "561-395-6704",
            "fax_number": "561-362-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SE 6TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334326016",
            "telephone_number": "561-395-6704",
            "fax_number": "561-362-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRTUE",
        "first_name": "CHRISTOPHER",
        "middle_name": "SHEA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME23265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.