Shirine Marianne Gharda, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME58156 Issued in FL

Practice address

6500 Crill Ave
Palatka, FL 32177-9230

Phone

(386) 326-0575

Fax

(866) 653-0629

NPI assigned

May 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Shirine Samyn Gharda-Ward Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Acupuncture & Holistic Health Center

  • Acupuncturist
  • Jacksonville, FL
  • NPI 1356682793
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1598718801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7643 GATE PKWY STE 104",
            "address_2": "PMB 125",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562892",
            "telephone_number": "904-472-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 CRILL AVE",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321779230",
            "telephone_number": "386-326-0575",
            "fax_number": "866-653-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHARDA",
        "first_name": "SHIRINE",
        "middle_name": "MARIANNE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME58156",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME58156",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064646600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRINE",
            "last_name": "GHARDA-WARD",
            "middle_name": "SAMYN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gaylain Lee Shumacher Physical Therapist
• Angela Gaylord, PTA
• Kathleen A. Gebert
• Connie Marie Gellinger, APRN CNM
• George a. Davis, M.D., P.a.
• Natalie B Gill
• Shanay L Gill
• Kate Marie Gilrain, PT, DPT
• Yolanda D Gilyard
• Allain A Girouard, MD

• Emergency Medicine Physician in Palatka, FL
• Providers in Palatka, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.