Active NPI
MCM Physician Services, LLC
- Hospitalist Physician
- Jupiter, FL
National Provider Identifier
1669798567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 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 DirectoryNPI 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.