Stacy Holder DPM PA

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO3583 Issued in FL

Legal business name

STACY HOLDER DPM PA

Doing business as

Paradigm Podiatry

Practice address

1791 NW 123Rd Ave
Pembroke Pines, FL 33026-4383

Phone

(954) 391-7674

Fax

(954) 374-6958

NPI assigned

Dec 19, 2013

Last updated

Jun 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stacy Holder Shewprashad, D.P.M.NPI 1841443843

Title

Owner

Phone

(954) 391-7674

Specialties & licenses 1

Addresses

Other names 1

• Paradigm Podiatry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stacy Holder Shewprashad, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Pembroke Pines, FL
  • NPI 1841443843
  Authorized official Same address or phone

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1447671326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 NW 123RD AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330264383",
            "telephone_number": "954-391-7674",
            "fax_number": "954-374-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 NW 123RD AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330264383",
            "telephone_number": "954-391-7674",
            "fax_number": "954-374-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY HOLDER DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-19",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "SHEWPRASHAD",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "HOLDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-391-7674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradigm Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Foot & Ankle Surgery Podiatrist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.