Ronald P Shelley PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS1648 Issued in FL

Legal business name

RONALD P SHELLEY PA

Doing business as

Belleview Medical Center

Practice address

6108 SE Front Rd
Belleview, FL 34420-7307

Phone

(352) 245-2080

NPI assigned

Oct 10, 2008

Last updated

Oct 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ronald P Shelley, DO

Title

Owner

Phone

(352) 245-2080

Specialties & licenses 1

Addresses

Other names 1

• BELLEVIEW MEDICAL CENTER Doing business as

Locations

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1083866842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344210127",
            "telephone_number": "352-245-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6108 SE FRONT RD",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344207307",
            "telephone_number": "352-245-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD P SHELLEY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "SHELLEY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-245-2080",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS1648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELLEVIEW MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adrian Rivera-Flores, MD
• Kanacialal Nashay Roberts
• Robert K Rockower, DO
• Jezalyn Rodriguez
• Alyssa Roman
• Salem Homes of Florida, Inc. (107th Place Group Home)
• Salem Villages MRDD, Inc.
• Cesia Gabriela Santander Aloma
• Ashley Nicole Santiago, MSW
• Adamastor A Santos, P.A.-C

• Family Medicine Physician in Belleview, FL
• Providers in Belleview, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.