Active NPI
Alexander Shiman MD PA
- Internal Medicine Physician
- Tamarac, FL
National Provider Identifier
1578829263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ALEXANDER SHIMAN MD PA
- Practice address
- 7421 N University Dr
Suite 203
Tamarac, FL 33321-2977 - Phone
- (954) 722-3200
- Fax
- (954) 726-0188
- NPI assigned
- Apr 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alexander Shiman, MD
- Title
- President
- Phone
- (954) 722-3200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
7421 N University Dr
Suite 203
Tamarac, FL 33321-2977
Mailing address
7421 N University Dr
Suite 203
Tamarac, FL 33321-2977
Phone (954) 722-3200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120920000107 | FL | Part B Supplier - Clinic/Group Practice | 7315195187 |
Receives reassigned benefits from 1 practitioner Practice locations: Tamarac, FL |
National Provider Directory
National Provider DirectoryLocations
7421 N University Dr
Ste 203
Tamarac, FL 33321
Phone (954) 722-3200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333670400000",
"number": "1578829263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7421 N UNIVERSITY DR",
"address_2": "SUITE 203",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333212977",
"telephone_number": "954-722-3200",
"fax_number": "954-726-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7421 N UNIVERSITY DR",
"address_2": "SUITE 203",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333212977",
"telephone_number": "954-722-3200",
"fax_number": "954-726-0188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALEXANDER SHIMAN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-06",
"last_updated": "2012-04-06",
"status": "A",
"authorized_official_last_name": "SHIMAN",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-722-3200",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.