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MARTY W SHIELDS M.D.
NPI 1053469361
Family Medicine in Miramar, FL

Active since January 05, 2007
3601 SW 160TH AVE, SUITE 250, MIRAMAR, FL 33027(954) 399-4645(855) 855-2792 Get Directions Write a Review

NPPES record last updated: October 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marty W Shields M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTY W SHIELDS M.D. (NPI 1053469361) is an individual family medicine provider in Miramar, Florida, licensed in Texas (H0814) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1053469361
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARTY W SHIELDSCredential: M.D.
Location Address3601 SW 160TH AVE, SUITE 250Miramar, FL 33027-6308
Mailing Address1400 Wallace Blvd, Attn: CredentialingAmarillo, TX 79106-1708 · (806) 354-5585 · Fax (806) 356-4673
Phone(954) 399-4645
Fax(855) 855-2792
Sole ProprietorNo
Enumeration DateJanuary 5, 2007
Last NPPES UpdateOctober 12, 2016
✔ NPI 1053469361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · H0814
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedSurgeryTaxonomy 208600000X · License H0814 (TX)
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License H 0814 (TX)
3601 SW 160TH AVE, Miramar, FL 33027
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Other Identifiers 7

Medicaid47924772NM
Medicare UPING13031TX
Medicaid038142802TX
Medicaid200234310 AOK
MedicaidPO80T6168TX
Medicare ID-Type Unspecified80T616TX
Medicare PIN8L9482TX

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HAYRIYE BERIL GOK M.D.
Family Medicine
3601 SW 160TH AVE, STE 250
MIRAMAR, FL 33027
Broward County (877) 866-7123
DR. TOAN HUU LE M.D.
Family Medicine
3601 SW 160TH AVE, STE 250
MIRAMAR, FL 33027
Broward County (877) 866-7123
DR. SURYANARAYAN JAIRAJ MD
Family Medicine
3601 SW 160TH AVE, SUITE 250
MIRAMAR, FL 33027
Broward County (877) 866-7123
GUSTAVO P CAMARANO MD
Internal Medicine (Cardiovascular Disease)
3601 SW 160TH AVE, SUITE 250
MIRAMAR, FL 33027
Broward County (877) 866-7123
DR. TERESA M ELLIOTT MD
Family Medicine
3601 SW 160TH AVE, SUITE 250
MIRAMAR, FL 33027
Broward County (877) 866-7123
ANDREA C. DORY MD
Family Medicine
3601 SW 160TH AVE, SUITE #250
MIRAMAR, FL 33027
Broward County (305) 866-9951
DR. LIRON BELTZER M.D.
Family Medicine
3601 SW 160TH AVE, SUITE 250
MIRAMAR, FL 33027
Broward County (954) 399-4642
VICKI TSAI M.D.
Family Medicine
3601 SW 160TH AVE, SUITE 250
MIRAMAR, FL 33027
Broward County (877) 866-7123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marty Shields's NPI number?

The NPI number for Marty Shields is 1053469361. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Marty Shields located?

Marty Shields practices at 3601 SW 160th Ave Suite 250, Miramar, FL 33027. The listed phone number is (954) 399-4645.

What is Marty Shields's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Marty Shields was last updated on October 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.