Martin H Shank, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

PO1208 Issued in FL

Practice address

10035 SW 1St CT
Coral Springs, FL 33071-7346

Phone

(561) 542-4100

Fax

(954) 752-8277

NPI assigned

Dec 6, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Retirement Life Center

  • Assisted Living Facility
  • Lauderhill, FL
  • NPI 1427212463
  NPD (past)
• Visiting Mental Health, P.a.

  • Clinical Psychologist
  • Fort Lauderdale, FL
  • NPI 1386985646
  NPD (past)

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1770567349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10035 SW 1ST CT",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717346",
            "telephone_number": "561-542-4100",
            "fax_number": "954-752-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10035 SW 1ST CT",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717346",
            "telephone_number": "561-542-4100",
            "fax_number": "954-752-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANK",
        "first_name": "MARTIN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1208",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO1208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029776300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric L Shain, CPHT
• Jasmine Shakibi, DMD
• Aviella Shalom, M.S., CCC-SLP
• Shamrock Investment Solution
• Shan Group II LLC
• Larry L Shapiro, DDS
• Robyn E Shapiro, AUD
• Alexander Shapsis, M.D.
• Shari L Goldberg O D P a
• Hina N Sharma, MD

• Primary Podiatric Medicine Podiatrist in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Primary Podiatric Medicine Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.