Active NPI
Shirley & Associates Chartered
- Orthopaedic Surgery Physician
- Jacksonville, FL
National Provider Identifier
1164678199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME 21555
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 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 DirectoryNPI 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.