Shoe Fly Shoe, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

20485 Issued in PA

Legal business name

SHOE FLY SHOE, INC.

Practice address

RT 22 & Colonial Rd
Colonial Park Mall/Irvings Shoe Fly
Harrisburg, PA 17109

Phone

(717) 671-0970

Fax

(717) 671-0973

NPI assigned

Sep 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Todd Lewis

Title

Owner

Phone

(814) 684-6040

Specialties & licenses 1

Addresses

Other names 1

• Irving's Shoe Fly Doing business as

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1013102870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RT 22 & COLONIAL RD",
            "address_2": "COLONIAL PARK MALL/IRVINGS SHOE FLY",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17109",
            "telephone_number": "717-671-0970",
            "fax_number": "717-671-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT 22 & COLONIAL RD",
            "address_2": "COLONIAL PARK MALL/IRVINGS SHOE FLY",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17109",
            "telephone_number": "717-671-0970",
            "fax_number": "717-671-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOE FLY SHOE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-684-6040",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "20485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Irving's Shoe Fly",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jonathan Shirey, M.D.
• Daisy Shirk, D.O.
• Eric L Shirley, D.M.D.
• Tracey Marie Shivok-Jefferson, NP-C
• Carissa Shobe, LPC
• Jennifer Anne Shoenfelt, LMT
• Cheryl A Shope, M.S.
• William Michael Shord, D.C.
• Abigail Short
• Shovlin Therapy Services LLC

• Durable Medical Equipment & Medical Supplies in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.