Organization Active NPI

Gary Shienbaum MD PA

  • Retina Specialist (Ophthalmology) Physician
  • Hollywood, FL
National Provider Identifier
1457918625
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
GARY SHIENBAUM MD PA
Practice address
7261 Sheridan St Ste 100B
Hollywood, FL 33024-2708
Phone
(954) 251-1802
NPI assigned
May 23, 2019
Last updated
May 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Authorized official

Name
Gary Shienbaum, MD
Title
President
Phone
(305) 898-7720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X NU Primary

Addresses

Primary practice location

7261 Sheridan St Ste 100B
Hollywood, FL 33024-2708

Mailing address

1429 Shoreline Way
Hollywood, FL 33019-5007
Phone (786) 213-4803

National Provider Directory

National Provider Directory

Locations

7261 Sheridan St
Ste 320
Hollywood, FL 33024
Phone (305) 898-7720

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1457918625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 SHORELINE WAY",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330195007",
            "telephone_number": "786-213-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7261 SHERIDAN ST STE 100B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242708",
            "telephone_number": "954-251-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY SHIENBAUM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "SHIENBAUM",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-898-7720",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.