Shirley J Meredith, MD, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

41773 Issued in KY

Legal business name

SHIRLEY J MEREDITH, MD, PLLC

Practice address

4000 Kresge Way
Baptist East Wound Care Center
Louisville, KY 40207-4605

Phone

(502) 259-4470

Fax

(502) 259-4471

NPI assigned

Jan 11, 2012

Organization subpart

No

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

Authorized official

Name

Shirley J Meredith, MD

Title

Dr/Physician

Phone

(229) 444-4140

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1023388733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 HILLOCK LANE",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "40014",
            "telephone_number": "229-444-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 KRESGE WAY",
            "address_2": "BAPTIST EAST WOUND CARE CENTER",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074605",
            "telephone_number": "502-259-4470",
            "fax_number": "502-259-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY J MEREDITH, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "MEREDITH",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DR/PHYSICIAN",
        "authorized_official_telephone_number": "229-444-4140",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "41773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Allen Shippey, LMFT
• Salman Shiraz, MD
• Katie Shircliffe
• Candace Marie Shireman, APRN
• Jennifer M Shireman, APRN
• Brian Vincent Shirley, DPT
• Letitia F Shirley, LPCC
• Martina Elaine Shirley, BA
• Natalie Nicole Shirley
• Sydney Alexandria Shirley, DMD

• Internal Medicine Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.