Organization Active NPI

Treasure Coast Maternal Fetal Medicine, PA

  • Maternal & Fetal Medicine Physician
  • Stuart, FL
National Provider Identifier
1679761852
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
ME86568 Issued in FL
Legal business name
TREASURE COAST MATERNAL FETAL MEDICINE, PA
Practice address
1545 SE Palm CT
Stuart, FL 34994-4914
Phone
(772) 288-9929
Fax
(772) 288-9931
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Dr. Shaun Lencki
Title
President
Phone
(772) 288-9929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VM0101X ME86568 FL Primary

Addresses

Primary practice location

1545 SE Palm CT
Stuart, FL 34994-4914

Mailing address

1545 SE Palm CT
Stuart, FL 34994-4914
Phone (772) 288-9929

National Provider Directory

National Provider Directory

Locations

1545 SE Palm Ct
Stuart, FL 34994
Phone (772) 283-2086

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1679761852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 SE PALM CT",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944914",
            "telephone_number": "772-288-9929",
            "fax_number": "772-288-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 SE PALM CT",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944914",
            "telephone_number": "772-288-9929",
            "fax_number": "772-288-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST MATERNAL FETAL MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "LENCKI",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-288-9929",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "FL",
            "license": "ME86568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.