Active NPI
Daniel Huff Shell IV, MD
- Plastic Surgery Physician
- Oxford, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 20125
- Practice address
- 2716 W Oxford Loop
Suite 171
Oxford, MS 38655-5714 - Phone
- (662) 236-6465
- NPI assigned
- May 15, 2007
- Last updated
- Aug 5, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 20125 | MS | Primary |
Addresses
Primary practice location
2716 W Oxford Loop
Suite 171
Oxford, MS 38655-5714
Mailing address
225 Sivley St
Oxford, MS 38655-3123
Phone (662) 236-6465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of Tennessee, HSC, College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2680 W Oxford Loop
Oxford, MS 38655-5441
Phone (662) 236-6465
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 14 |
| Melanoma (skin cancer) excision | 80 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20125 | MS | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shell Plastic Surgery,PLLC | Current | Accepting new patients |
Locations
2716 West Oxford Loop
Ste 171
Oxford, MS 38655
Phone 6622248951237
2680 West Oxford Loop
Oxford, MS 38655
Phone (662) 236-6465
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Plastic and Reconstructive Surgery Physician
- Oxford, MS
- NPI 1073770228
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oxford, MS
- NPI 1053375576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375660800000",
"number": "1023224250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 SIVLEY ST",
"city": "OXFORD",
"state": "MS",
"postal_code": "386553123",
"telephone_number": "662-236-6465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2716 W OXFORD LOOP",
"address_2": "SUITE 171",
"city": "OXFORD",
"state": "MS",
"postal_code": "386555714",
"telephone_number": "662-236-6465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELL",
"first_name": "DANIEL",
"middle_name": "HUFF",
"name_suffix": "IV",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2013-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MS",
"license": "20125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, MS
- Leslie Dawn Sheffield, FNP-C
- Taylor Shelby, M.ED, NCC
- Elizabeth Grayson Sheley, NP
- Shell Plastic Surgery,PLLC
- Shell Space Counseling, LLC
- Tinesha Lynn Shelley, REGISTERED NURSE
- Adeline Meriwether Shelton, RDN, LD
- Matthew H Shelton, M.A. PCMHT
- Shannon Detrice Shepherd, BSW
- Suzanne Shepherd, BSW,PCCSS,BA,MED,PCM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.