Active NPI
Diane Marie Shirley - Davis, MD
- Otolaryngology Physician
- Houston, TX
National Provider Identifier
1053308569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- L1746
- Practice address
- 13325 Hargrave Rd
Ste 270
Houston, TX 77070-4350 - Phone
- (832) 237-2227
- Fax
- (832) 237-3930
- NPI assigned
- Sep 29, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | L1746 | TX | Primary |
Addresses
Primary practice location
13325 Hargrave Rd
Ste 270
Houston, TX 77070-4350
Mailing address
10740 N Gessner Dr
Ste 310
Houston, TX 77064-1240
Phone (281) 897-0416
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1101599 | Other | TX | BEECHSTREET |
| 142009301 | Medicaid | TX |
Other names 1
- Dr. Diane Marie Shirley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Ear, Nose & Throat Specialists, PLLC | Otolaryngology | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Otolaryngology Physician
- McKinney, TX
- NPI 1255314985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289260800000",
"number": "1053308569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10740 N GESSNER DR",
"address_2": "STE 310",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770641240",
"telephone_number": "281-897-0416",
"fax_number": "281-890-8908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13325 HARGRAVE RD",
"address_2": "STE 270",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770704350",
"telephone_number": "832-237-2227",
"fax_number": "832-237-3930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRLEY - DAVIS",
"first_name": "DIANE",
"middle_name": "MARIE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-29",
"last_updated": "2010-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "L1746",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECHSTREET",
"identifier": "1101599",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142009301",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DIANE",
"last_name": "SHIRLEY",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Houston, TX
- Shirin Shirazi, O.D.
- Farhad Shirazian, DDS
- Shire Family Counseling PLLC
- Shirelles Person Centered Case Management
- Stephanie Nicole Shirey, MD
- Shirley Ann Riggs, M.D., F.a.C.P., P.a.
- Sue Shirley Howard, MA,CCC,BRS-FD
- Shirley Mathew MD PA
- Jennifer Maus Shirley, M.A., C.C.C.-S.L.P.
- Advayanand Girish Shirsalkar, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.