Individual provider Active NPI

Tighe Paul Shomer, MD

  • Emergency Medicine Physician
  • Pinecrest, FL
National Provider Identifier
1992370209
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME33050 Issued in FL
Practice address
7550 SW 128TH St
Pinecrest, FL 33156-6102
Phone
(305) 252-3919
Fax
(305) 252-6100
NPI assigned
May 20, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME33050 FL Primary

Addresses

Primary practice location

7550 SW 128TH St
Pinecrest, FL 33156-6102

Mailing address

7550 SW 128TH St
Pinecrest, FL 33156-6102
Phone (305) 252-3919

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
ME33050FLMDEmergency Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1992370209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 SW 128TH ST",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331566102",
            "telephone_number": "305-252-3919",
            "fax_number": "305-252-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 SW 128TH ST",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "331566102",
            "telephone_number": "305-252-3919",
            "fax_number": "305-252-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOMER",
        "first_name": "TIGHE",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME33050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinecrest, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.