Marvin Shienbaum, M.D., L.L.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0038805 Issued in FL

Legal business name

MARVIN SHIENBAUM, M.D., L.L.C.

Practice address

500 Vonderburg Dr Ste 110W
Brandon, FL 33511-5969

Phone

(813) 681-5709

Fax

(813) 681-4984

NPI assigned

Apr 25, 2013

Organization subpart

No

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

Authorized official

Name

Marvin F Shienbaum, M.D.NPI 1649232752

Title

Owner

Phone

(813) 681-5709

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marvin F Shienbaum, MD

  • Plastic and Reconstructive Surgery Physician
  • Brandon, FL
  • NPI 1649232752
  NPD (past) Authorized official
• Vipul Gargya, MD

  • Plastic and Reconstructive Surgery Physician
  • Tampa, FL
  • NPI 1558770826
  NPD (past)

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1871937441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 VONDERBURG DR STE 110W",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115969",
            "telephone_number": "813-681-5709",
            "fax_number": "813-681-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VONDERBURG DR STE 110W",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115969",
            "telephone_number": "813-681-5709",
            "fax_number": "813-681-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN SHIENBAUM, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-25",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "SHIENBAUM",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-681-5709",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0038805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikolas Anthony Martinez, MD
• Sarah Beth Martinez, PA
• Sergio Martinez, M.D.
• Lesa Maria Martino, PHARMD
• Talmis Marietis Martos Gabriel
• John Thomas Masiello, MD
• Lauren Marie Masino
• Karen Ann Mason
• Jamal Massen
• Amanda Massey, PA

• Specialist in Brandon, FL
• Providers in Brandon, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.