Organization Active NPI

Bashir U Shaikh MD PA

  • Clinic/Center
  • Lake Worth, FL
National Provider Identifier
1477838159
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ME 65557 Issued in FL
Legal business name
BASHIR U SHAIKH MD PA
Practice address
3918 Via Poinciana
Suite 10
Lake Worth, FL 33467-2991
Phone
(561) 439-8858
Fax
(561) 439-6851
NPI assigned
Oct 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Bashir U Shaikh, MD
Title
President
Phone
(561) 439-8858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ME 65557 FL Primary

Addresses

Primary practice location

3918 Via Poinciana
Suite 10
Lake Worth, FL 33467-2991

Mailing address

3918 Via Poinciana
Suite 10
Lake Worth, FL 33467-2991
Phone (561) 439-8858

National Provider Directory

National Provider Directory

Locations

3918 Via Poinciana
Ste 10
Lake Worth, FL 33467
Phone (561) 439-8858

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1477838159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 VIA POINCIANA",
            "address_2": "SUITE 10",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672991",
            "telephone_number": "561-439-8858",
            "fax_number": "561-439-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 VIA POINCIANA",
            "address_2": "SUITE 10",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672991",
            "telephone_number": "561-439-8858",
            "fax_number": "561-439-6851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASHIR U SHAIKH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "SHAIKH",
        "authorized_official_first_name": "BASHIR",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-439-8858",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME 65557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.