Shawn Patrick St. Marie, D.O.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

UO2277 Issued in FL

Practice address

4625 Halder LN Ste C
Orlando, FL 32814-6416

Phone

(407) 506-4776

Fax

(407) 203-4018

NPI assigned

Jul 1, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Adventist Health System Sunbelt Inc

  • Family Medicine Physician
  • Winter Park, FL
  • NPI 1780777391

  Internal Medicine

  Medicare reassignment NPD
• Florida Hospital Medical Group Inc

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1225034234

  Internal Medicine

  Medicare reassignment NPD
• Osteopathic Health of Baldwin Park

  • Neuromusculoskeletal Medicine & OMM Physician
  • Orlando, FL
  • NPI 1558952390
  NPD Authorized official
• Adventist Health System Sunbelt Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Winter Park, FL
  • NPI 1558636597
  NPD
• Adventist Health System-Sunbelt, Inc

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1306938071
  NPD
• Florida Hospital Medical Group Inc

  • Prosthetic/Orthotic Supplier
  • Minneola, FL
  • NPI 1285591545
  NPD

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1538470877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 HALDER LN STE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146416",
            "telephone_number": "407-506-4776",
            "fax_number": "407-203-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 HALDER LN STE C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146416",
            "telephone_number": "407-506-4776",
            "fax_number": "407-203-4018"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7975 Lake Underhill Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328228204",
            "country_code": "US",
            "telephone_number": "407-303-6830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7727 Lake Underhill Rd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328228224",
            "country_code": "US",
            "telephone_number": "407-303-6830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST. MARIE",
        "first_name": "SHAWN",
        "middle_name": "PATRICK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "0S12737",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": "UO2277",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "UO2277",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "MA244984",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fabiola St. Fort, CRNA
• Samarra St. Hilaire, OTR
• Amanda Laurel St. John, APRN, AGPCNP-C
• Adam Gerard St. Laurent, DC
• St. Lukes United Methodist Church, the Community Counseling Center
• St. Mary'S Home
• St. Mary'S Home Assisted Living Facility
• Donald St. Pierre, RN
• Latoya St. Pierre, LMHC
• Kislene St.Hubert, ARNP

• Neuromusculoskeletal Medicine & OMM Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.