Individual provider Active NPI

Cindy A Shiro, D.O.

  • Obstetrics & Gynecology Physician
  • Southbridge, MA
National Provider Identifier
1104810977
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
156644 Issued in MA
Practice address
428 Hamilton St FL 2
Southbridge, MA 01550-1859
Phone
(774) 402-8560
Fax
(774) 402-8563
NPI assigned
Sep 7, 2005
Last updated
Mar 16, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 156644 MA Primary

Addresses

Primary practice location

428 Hamilton St FL 2
Southbridge, MA 01550-1859

Mailing address

428 Hamilton St FL 2
Southbridge, MA 01550-1859
Phone (774) 402-8560

Other identifiers 1

IdentifierTypeStateIssuer
3181871MedicaidMA

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 Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
John G Stagias MD PC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1104810977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 HAMILTON ST FL 2",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015501859",
            "telephone_number": "774-402-8560",
            "fax_number": "774-402-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 HAMILTON ST FL 2",
            "city": "SOUTHBRIDGE",
            "state": "MA",
            "postal_code": "015501859",
            "telephone_number": "774-402-8560",
            "fax_number": "774-402-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRO",
        "first_name": "CINDY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "156644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3181871",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.