Individual provider Active NPI

Daisy Shirk, D.O.

  • Psychiatry Physician
  • Harrisburg, PA
National Provider Identifier
1063548485
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS-008002-L Issued in PA
Practice address
2501 N 3Rd St
Harrisburg, PA 17110-1904
Phone
(717) 782-4734
Fax
(717) 782-4727
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS-008002-L PA Primary
Child & Adolescent Psychiatry Physician 2084P0804X OS-008202-L PA

Addresses

Primary practice location

2501 N 3Rd St
Harrisburg, PA 17110-1904

Mailing address

PO Box 858
MC A410
Hershey, PA 17033-0858
Phone (800) 243-1455

Other identifiers 2

IdentifierTypeStateIssuer
01740401OtherPACBC PROVIDER ID
278630OtherPAHIGHMARK PROVIDER ID

Other names 1

  • Daisy Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110708000120 PA Practitioner - Psychiatry 1658559059 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reading Behavioral Healthcare, LLCGroup PAC ID 8527495183, 8 clinicians

Practice addresses (Care Compare)

201 Wellness Way
Reading, PA 19605-8902
Phone (484) 659-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS-008002-LPAMDPsychiatry Physician
OS-008202-LPAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
Pennsylvania Psychiatric Institute CurrentSince Feb 1, 2017 Accepting new patients
Reading Hospital CurrentSince Jan 1, 2023 Accepting new patients
Reading Hospital CurrentSince Jan 1, 2023 Accepting new patients
Tower Health Medical Group CurrentSince Feb 1, 2021 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Pennsylvania Psychiatric Institute CurrentSince Feb 1, 2017 Accepting new patients
Reading Behavioral Healthcare, LLC CurrentSince Feb 1, 2021 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Psychiatry CurrentSince Jul 13, 2015 Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Jul 13, 2015 Accepting new patients
Reading Hospital Current Accepting new patients
Tower Health Medical Group CurrentSince Feb 1, 2021 Accepting new patients
Reading Behavioral Healthcare, LLC Past Accepting new patients

Locations

2501 N 3rd St
Harrisburg, PA 17110
Phone (717) 782-2100

401 Division St
Harrisburg, PA 17110
Phone (717) 782-4349

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

201 Wellness Way
Reading, PA 19605
Phone (484) 339-6037

101 Wellness Way
Reading, PA 19605
Phone (484) 628-8070

206 S 6th Ave
West Reading, PA 19611
Phone (484) 628-5437

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1063548485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 858",
            "address_2": "MC A410",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170330858",
            "telephone_number": "800-243-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N 3RD ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101904",
            "telephone_number": "717-782-4734",
            "fax_number": "717-782-4727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRK",
        "first_name": "DAISY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS-008002-L",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "OS-008202-L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBC PROVIDER ID",
            "identifier": "01740401",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PROVIDER ID",
            "identifier": "278630",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAISY",
            "last_name": "WILLIAMS",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.