Individual provider Active NPI

Ricky Marc Schneider, MD

  • Cardiovascular Disease Physician
  • Tamarac, FL
National Provider Identifier
1700870375
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME0047659 Issued in FL
Practice address
7710 NW 71St CT Ste 303
Tamarac, FL 33321-2932
Phone
(954) 303-0225
Fax
(305) 675-2796
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME0047659 FL Primary

Addresses

Primary practice location

7710 NW 71St CT Ste 303
Tamarac, FL 33321-2932

Mailing address

7710 NW 71St CT Ste 303
Tamarac, FL 33321-2932
Phone (954) 303-0225

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080808000323 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1658445697 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0047659FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Impression Imaging LLC CurrentSince May 5, 2018 Accepting new patients
Ekg Readers of Coral Springs Inc Cardiovascular Disease CurrentSince Feb 1, 2020 Accepting new patients
West Boca Ekg Readers LLC Cardiovascular Disease Past Accepting new patients
Integrated Care LLC Cardiovascular Disease Past Accepting new patients

Locations

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

7180 N University Dr
Tamarac, FL 33321
Phone (954) 580-2780

Organizations & group practices 5

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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1700870375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 NW 71ST CT STE 303",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212932",
            "telephone_number": "954-303-0225",
            "fax_number": "305-675-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 NW 71ST CT STE 303",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212932",
            "telephone_number": "954-303-0225",
            "fax_number": "305-675-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "RICKY",
        "middle_name": "MARC",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0047659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.