Individual provider Active NPI

George Schwenck, D.P.M. PA

  • Podiatrist
  • Hollywood, FL
National Provider Identifier
1609901354
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
P0001896 Issued in FL
Practice address
3700 Washington St Ste 500a
Hollywood, FL 33021-8256
Phone
(954) 278-7757
Fax
(877) 289-0103
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X P0001896 FL Primary

Addresses

Primary practice location

3700 Washington St Ste 500a
Hollywood, FL 33021-8256

Mailing address

1584 NE 108TH St
Miami, FL 33161-7427
Phone (305) 505-1873

Other identifiers 1

IdentifierTypeStateIssuer
001454100MedicaidFL

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100527000115 FL Practitioner - Podiatry 6305975533 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17751 SW 2ND St
Suite 22
Pembroke Pines, FL 33029-3924
Phone (954) 251-1687

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue100
Removal or shaving of skin growth27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1896FLMDGeneral Practice Dentistry
P0001896FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Certified Foot & Ankle Specialists CurrentSince Jan 1, 2022 Accepting new patients
Certified Foot & Ankle Specialists Podiatrist CurrentSince Jan 1, 2022 Accepting new patients

Locations

7730 W Boynton Beach Blvd
Ste 7
Boynton Beach, FL 33437
Phone (561) 369-2199

10446 Taft St
Pembroke Pines, FL 33026
Phone (954) 431-6050

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1609901354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1584 NE 108TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331617427",
            "telephone_number": "305-505-1873",
            "fax_number": "877-289-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON ST STE 500A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218256",
            "telephone_number": "954-278-7757",
            "fax_number": "877-289-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWENCK",
        "first_name": "GEORGE",
        "name_prefix": "Mr.",
        "credential": "D.P.M. PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "P0001896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001454100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.