Michael H Shinder, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC002652L Issued in PA

Practice address

8001 Roosevelt Blvd
Suite 203
Philadelphia, PA 19152-3038

Phone

(215) 332-5300

Fax

(215) 332-5228

NPI assigned

Dec 6, 2006

Last updated

Jun 10, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: medrecs@deborah.medalliesdirect.net

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

• Deborah Heart and Lung Center

  • General Acute Care Hospital
  • Browns Mills, NJ
  • NPI 1467440743
  NPD
• The Foot and Ankle Group PC

  • Podiatrist
  • Mount Laurel, NJ
  • NPI 1619035557
  NPD (past)
• The Foot and Ankle Group, PC

  • Podiatrist
  • Bordentown, NJ
  • NPI 1043480726
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1548329675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 ROOSEVELT BLVD",
            "address_2": "SUITE 203",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523038",
            "telephone_number": "215-332-5300",
            "fax_number": "215-332-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 ROOSEVELT BLVD",
            "address_2": "SUITE 203",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523038",
            "telephone_number": "215-332-5300",
            "fax_number": "215-332-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINDER",
        "first_name": "MICHAEL",
        "middle_name": "H",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002652L",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "25MD00157000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyonghui Janice Shin, LCSW
• Leonardo Nicolas Shin, DMD
• Max Shin, MD
• Noah Shin
• Samuel S Shin, M.D., PH.D.
• Kenneth Shindler, MD
• Shine Healthcare Group LLC
• Shine Medical Providers PC
• Shine Speech Language Pathology, LLC
• Melissa Viola Shiner, PHARMD CGP BCPP MHA

• Podiatrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.