Active NPI
Richard J Shapiro, D.O.
- Adult Medicine Physician
- Wellington, FL
National Provider Identifier
1871846980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 2463
- Practice address
- 3141 Hamblin Way
Wellington, FL 33414-3427 - Phone
- (561) 370-3635
- Fax
- (561) 899-3990
- NPI assigned
- Oct 26, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 2463 | FL | Primary |
Addresses
Primary practice location
3141 Hamblin Way
Wellington, FL 33414-3427
Mailing address
3141 Hamblin Way
Wellington, FL 33414-3427
Phone (561) 370-3635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2463 | FL | MD | Adult Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351209600000",
"number": "1871846980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3141 HAMBLIN WAY",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334143427",
"telephone_number": "561-370-3635",
"fax_number": "561-899-3990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3141 HAMBLIN WAY",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334143427",
"telephone_number": "561-370-3635",
"fax_number": "561-899-3990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAPIRO",
"first_name": "RICHARD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-26",
"last_updated": "2012-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "FL",
"license": "2463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wellington, FL
- Susan Mindy Shamaskin, DO
- Majid A Shams, PH.D.
- Shanmugasundaram, Venkatachalam (V S Sundaram MD)
- Venkatachalam Shanmugasundaram, MD
- Andrew Justin Shapiro, M.D.
- Shari Calderwood Counseling Services, LLC
- Shekhar Veerubhotla Sharma, M.D.
- Sharp Therapy Services, Inc.
- Grace Lesley Camile Sharp, PA-C
- Shaunte Brown & Associates Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.