Organization Active NPI

Shirley & Associates Chartered

  • Orthopaedic Surgery Physician
  • Jacksonville, FL
National Provider Identifier
1164678199
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME 21555 Issued in FL
Legal business name
SHIRLEY & ASSOCIATES CHARTERED
Practice address
3728 Phillips Hwy
Suite 214a
Jacksonville, FL 32207-9300
Phone
(904) 398-2010
Fax
(904) 398-7154
NPI assigned
Aug 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Authorized official

Name
Paul D Shirley, M.D.
Title
President
Phone
(904) 398-2010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X ME 21555 FL Primary

Addresses

Primary practice location

3728 Phillips Hwy
Suite 214a
Jacksonville, FL 32207-9300

Mailing address

3728 Phillips Hwy
Suite 214a
Jacksonville, FL 32207-9300
Phone (904) 398-2010

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1164678199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3728 PHILLIPS HWY",
            "address_2": "SUITE 214A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079300",
            "telephone_number": "904-398-2010",
            "fax_number": "904-398-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3728 PHILLIPS HWY",
            "address_2": "SUITE 214A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079300",
            "telephone_number": "904-398-2010",
            "fax_number": "904-398-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY & ASSOCIATES CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "SHIRLEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-398-2010",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME 21555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.