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SHANTELL MCLAGGAN MD
NPI 1619771821
Student in an Organized Health Care Education/Training Program in Hollywood, FL

Active since April 04, 2025PECOS Enrolled
3501 JOHNSON ST, HOLLYWOOD, FL 33021(954) 987-2000 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Shantell Mclaggan Md NPPES

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

SHANTELL MCLAGGAN MD (NPI 1619771821) is an individual student in an organized health care education/training program in Hollywood, Florida and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pembroke Pines.

NPPES Registry Identity

NPI1619771821
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHANTELL MCLAGGANCredential: MD
Location Address3501 JOHNSON STHollywood, FL 33021-5421
Mailing Address3000 Golden Rd Apt 28Greenville, NC 27858-4915 · (336) 425-4824
Phone(954) 987-2000
Sole ProprietorNo
Enumeration DateApril 4, 2025
NPPES CertifiedApril 4, 2025
✔ NPI 1619771821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3501 JOHNSON ST, Hollywood, FL 33021
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Secondary Practice Location 1

Location 1703 N Flamingo RdPembroke Pines, FL 33028-1006 · Phone (954) 436-5000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shantell Mclaggan Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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. LESTER GOLDBERG M.D.
Radiology (Diagnostic Radiology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 987-2000
DR. TIMOTHY M. BURKE D.O.
Emergency Medicine
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 987-2000
DR. MOHAMMAD ALI ANSARI LARI M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 985-5921
DR. STANLEY JARED CHANG M.D.
Radiology (Diagnostic Radiology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 437-4800
SAMANTHA THEMAS
Pharmacist
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 265-5900
DR. CHANCE MILAN YURCO PHARMD, RPH
Pharmacist
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 987-2000
MR. GREGORY GRAVES JR. CAA
Anesthesiologist Assistant
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 939-5000
DR. SHERRY LOU WOODHOUSE M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 985-5921

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 Shantell Mclaggan's NPI number?

The NPI number for Shantell Mclaggan is 1619771821. It was assigned to this individual provider in the NPPES registry on April 4, 2025.

Where is Shantell Mclaggan located?

Shantell Mclaggan practices at 3501 Johnson St, Hollywood, FL 33021. The listed phone number is (954) 987-2000.

What is Shantell Mclaggan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shantell Mclaggan enrolled in Medicare?

Yes. Shantell Mclaggan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shantell Mclaggan was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.