Active NPI
Michael Wayne Engelman, MD
- Dermatology Physician
- Coral Springs, FL
National Provider Identifier
1891758165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME37097
- Practice address
- 3000 University Dr
Ste K
Coral Springs, FL 33065 - Phone
- (954) 752-2630
- Fax
- (954) 752-9391
- NPI assigned
- Apr 8, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ME37097 | FL | Primary |
Addresses
Primary practice location
3000 University Dr
Ste K
Coral Springs, FL 33065
Mailing address
3000 University Dr
Ste K
Coral Springs, FL 33065
Phone (954) 752-2630
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 511782 | Other | FL | UNITED |
| 93838 | Other | FL | BC/BS FLORIDA |
| 209877 | Other | FL | AVMED |
| 04085048 | Other | FL | AETNA |
| 070003806 | Other | FL | MEDICARE RAILROAD |
| 5794286 | Other | FL | GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME37097 | FL | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297123200000",
"number": "1891758165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 UNIVERSITY DR",
"address_2": "STE K",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "33065",
"telephone_number": "954-752-2630",
"fax_number": "954-752-9391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 UNIVERSITY DR",
"address_2": "STE K",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "33065",
"telephone_number": "954-752-2630",
"fax_number": "954-752-9391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGELMAN",
"first_name": "MICHAEL",
"middle_name": "WAYNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-08",
"last_updated": "2011-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME37097",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "511782",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS FLORIDA",
"identifier": "93838",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "209877",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "04085048",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "070003806",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "5794286",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.