Organization Active NPI

Marie Shin, DPM. PLLC

  • Foot & Ankle Surgery Podiatrist
  • Pembroke Pines, FL
National Provider Identifier
1891035705
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3564 Issued in FL
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

Updated by the provider on Dec 11, 2013

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)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.