Active NPI
Marie Shin, DPM. PLLC
- Foot & Ankle Surgery Podiatrist
- Pembroke Pines, FL
National Provider Identifier
1891035705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO3564
- Legal business name
- MARIE SHIN, DPM. PLLC
- Practice address
- 2261 N University Dr
Suite200
Pembroke Pines, FL 33024-3623 - Phone
- (954) 987-4991
- Fax
- (954) 987-4922
- NPI assigned
- Mar 1, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marie Shin, DPM
- Title
- President
- Phone
- (404) 825-8093
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO3564 | FL | Primary |
Addresses
Primary practice location
2261 N University Dr
Suite200
Pembroke Pines, FL 33024-3623
Mailing address
2261 N University Dr
Suite 200
Pembroke Pines, FL 33024-3623
Phone (954) 987-4991
National Provider Directory
National Provider DirectoryLocations
2261 N University Dr
Ste 200
Pembroke Pines, FL 33024
Phone (954) 987-4900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386720000000",
"number": "1891035705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2261 N UNIVERSITY DR",
"address_2": "SUITE 200",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330243623",
"telephone_number": "954-987-4991",
"fax_number": "954-987-4922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2261 N UNIVERSITY DR",
"address_2": "SUITE200",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330243623",
"telephone_number": "954-987-4991",
"fax_number": "954-987-4922"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIE SHIN, DPM. PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-01",
"last_updated": "2013-12-11",
"status": "A",
"authorized_official_last_name": "SHIN",
"authorized_official_first_name": "MARIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "404-825-8093",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "FL",
"license": "PO3564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.