Organization Active NPI

MCM Physician Services, LLC

  • Hospitalist Physician
  • Jupiter, FL
National Provider Identifier
1669798567
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
MCM PHYSICIAN SERVICES, LLC
Practice address
601 University Blvd
Suite 206
Jupiter, FL 33458-2788
Phone
(561) 932-0995
NPI assigned
Apr 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2010

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

Authorized official

Name
Dr. Mazin Shikara
Title
President
Phone
(561) 932-0995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

601 University Blvd
Suite 206
Jupiter, FL 33458-2788

Mailing address

PO Box 69
Jupiter, FL 33468-0069
Phone (561) 932-0995

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271376000000",
    "number": "1669798567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334680069",
            "telephone_number": "561-932-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 UNIVERSITY BLVD",
            "address_2": "SUITE 206",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582788",
            "telephone_number": "561-932-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCM PHYSICIAN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-16",
        "last_updated": "2010-04-16",
        "status": "A",
        "authorized_official_last_name": "SHIKARA",
        "authorized_official_first_name": "MAZIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-932-0995",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.