NPIMap

Individual provider Active NPI

Marc Shiman

  • Internal Medicine Physician
  • Boynton Beach, FL
National Provider Identifier
1487802823
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
UNKNOWN Issued in FL
Practice address
6056 Boynton Beach Blvd
Suite 145
Boynton Beach, FL 33437-3584
Phone
(561) 737-9227
NPI assigned
Aug 27, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X UNKNOWN FL Primary

Addresses

Primary practice location

6056 Boynton Beach Blvd
Suite 145
Boynton Beach, FL 33437-3584

Mailing address

6056 Boynton Beach Blvd
Suite 145
Boynton Beach, FL 33437-3584
Phone (561) 737-9227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100809000130 FL Practitioner - Internal Medicine 5092848291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10075 S Jog Rd
Boynton Beach, FL 33437-3532
Phone (561) 733-0710

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
UNKNOWNFLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marc D. Shiman, M.D., P.a. Internal Medicine CurrentSince Jun 6, 2022 Accepting new patients

Locations

10075 S Jog Rd
Ste 105
Boynton Beach, FL 33437
Phone (561) 733-0710

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26694/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290470400000",
    "number": "1487802823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6056 BOYNTON BEACH BLVD",
            "address_2": "SUITE 145",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373584",
            "telephone_number": "561-737-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6056 BOYNTON BEACH BLVD",
            "address_2": "SUITE 145",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373584",
            "telephone_number": "561-737-9227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMAN",
        "first_name": "MARC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-27",
        "last_updated": "2010-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "UNKNOWN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.