Pamela M. Ermine, DO LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PAMELA M. ERMINE, DO LLC

Practice address

10151 Enterprise Ctr Ste 102
Boynton Beach, FL 33437-3760

Phone

(561) 536-7884

Fax

(561) 336-3776

NPI assigned

Apr 10, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Pamela Ermine, DONPI 1508887506

Title

Owner

Phone

(561) 536-7884

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela Marni Ermine, D.O.

  • Family Medicine Physician
  • Boynton Beach, FL
  • NPI 1508887506
  Medicare reassignment Care Compare group NPD Authorized official
• Susanne Leslie Smithson, APRN

  • Family Nurse Practitioner
  • Boynton Beach, FL
  • NPI 1851874069
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1669091666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10151 ENTERPRISE CTR STE 102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373760",
            "telephone_number": "561-536-7884",
            "fax_number": "561-336-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 ENTERPRISE CTR STE 102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373760",
            "telephone_number": "561-536-7884",
            "fax_number": "561-336-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA M. ERMINE, DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-10",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "ERMINE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-536-7884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palm Tree Recovery LLC
• Palmadultcare.LLC
• Michelle A Palmer-Espanol, DMD, MS
• Palms Birth House
• Pam Brown
• Nikul Mahendra Panchal
• Jilleen Marie Pannozzo, D.O.
• James Leonard Pantel, D.D.S.
• Gordon Panter, CRNA
• Victor Pantoja

• Family Medicine Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.