Individual provider Active NPI

William Jason Shure, M.D.

  • Obstetrics & Gynecology Physician
  • Hollywood, FL
National Provider Identifier
1982095352
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME 0037427 Issued in FL
Practice address
1047 S Southlake Dr
Hollywood, FL 33019-1948
Phone
(954) 980-1060
Fax
(954) 927-2292
NPI assigned
Feb 6, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME 0037427 FL Primary
Obstetrics & Gynecology Physician 207V00000X 140158-1 NY

Addresses

Primary practice location

1047 S Southlake Dr
Hollywood, FL 33019-1948

Mailing address

1047 S Southlake Dr
Hollywood, FL 33019-1948
Phone (954) 980-1060

Other identifiers 1

IdentifierTypeStateIssuer
066138400MedicaidFL

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 0037427FLMDObstetrics & Gynecology Physician
140158-1NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Institute of Obstetrics and Gynecology of South Florida Obstetrics & Gynecology Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423180800000",
    "number": "1982095352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 S SOUTHLAKE DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330191948",
            "telephone_number": "954-980-1060",
            "fax_number": "954-927-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 S SOUTHLAKE DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330191948",
            "telephone_number": "954-980-1060",
            "fax_number": "954-927-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHURE",
        "first_name": "WILLIAM",
        "middle_name": "JASON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME 0037427",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "140158-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066138400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.