Marty W Shields in Miramar - Vascular Surgery
Marty W Shields - NPI 1053469361
Marty W Shields is a Vascular Surgery in Miramar, Florida. Marty W Shields practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Marty W Shields is 1053469361. The last update date is 2016-10-12.
Marty W Shields's current location address is 3601 Sw 160th Ave, Miramar, Florida. You can contact this provider via phone number 9543994645 and fax number 8558552792. The mailing address for Marty W Shields is 3601 Sw 160th Ave, Miramar, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marty W Shields |
|---|---|
| Address | 3601 Sw 160th Ave, Miramar, Florida |
| Phone Number | 9543994645 |
| Fax Number | 8558552792 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053469361 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2016-10-12 |
Provider Mailing Address Detail
| Address | 3601 Sw 160th Ave |
|---|---|
| City | Miramar |
| State | Florida (FL) |
| Post Code | 330276308 |
| Phone Number | 9543994645 |
| Fax Number | 8558552792 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | H 0814 |
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Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38142802 | TX | -- | |
| 47924772 | NM | -- | |
| PO80T6168 | TX | -- | |
| 200234310 A | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Marty W Shields by the Centers for Medicare & Medicaid Services?
The Marty W Shields has been issued the NPI (National Provider Identifier) 1053469361, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Marty W Shields's physical address?
The Marty W Shields is physically located at 3601 Sw 160Th Ave, in the city of Miramar, FL, with the postal code 330276308.
What is Marty W Shields's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Marty W Shields is Vascular Surgery, and the taxonomy classification code that categorizes this area of expertise is 2086S0129X.
On what date did the Marty W Shields receive its 1053469361 assignment from the Centers for Medicare & Medicaid Services?
The Marty W Shields was assigned its 1053469361 by the Centers for Medicare & Medicaid Services on 2007-01-05.
When was the information regarding Marty W Shields most recently updated?
The details pertaining to the Marty W Shields, including its address, specialty, and other relevant information, were last refreshed on 2016-10-12.