Richard Nettboy DPM & Martin H Shank DPM PA

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

P01387 Issued in FL

Legal business name

RICHARD NETTBOY DPM & MARTIN H SHANK DPM PA

Doing business as

Boca Deerfield Podiatry Associates

Practice address

23061 State Rd 7
Boca Raton, FL 33428-5433

Phone

(561) 482-1900

Fax

(561) 482-1094

NPI assigned

Nov 24, 2006

Last updated

Sep 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martin H Shank, DPM

Title

Partner

Phone

(561) 482-1900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Boca Deerfield Podiatry Associates Doing business as

Locations

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1780750505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23061 STATE RD 7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334285433",
            "telephone_number": "561-482-1900",
            "fax_number": "561-482-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23061 STATE RD 7",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334285433",
            "telephone_number": "561-482-1900",
            "fax_number": "561-482-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD NETTBOY DPM & MARTIN H SHANK DPM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "SHANK",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "561-482-1900",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "P01387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029636800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boca Deerfield Podiatry Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard D Kimmel DO FCCP PA
• Richard I. Lipman D.D.S., P. a.
• Richard J Gerstein M D P a
• Richard K. Lohmann, M.D., P.a. (West Boca Sports Medicine)
• Richard Kornblath PHD PA
• Richard R Golden MD PA
• Richard Rosen Chiropractic PA (Boca Spine and Sport)
• Richard S Faulk MD PA
• Richard S Klein DC PA
• Jessa Elizabeth Miles Richards

• Primary Podiatric Medicine Podiatrist in Boca Raton, FL
• Providers in Boca Raton, 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 Sep 15, 2008; 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.