Cornell J Shelton MD PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

CORNELL J SHELTON MD PLLC

Practice address

10401 Spotsylvania Ave
Fredericksburg, VA 22408-8606

Phone

(540) 741-3786

NPI assigned

Nov 7, 2017

Organization subpart

No

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

Authorized official

Name

Cornell SheltonNPI 1003807538

Title

Doctor

Phone

(413) 222-5925

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cornell Shelton, MD

  • Physical Medicine & Rehabilitation Physician
  • Fredericksburg, VA
  • NPI 1003807538
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1164935631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5746 UNION MILL RD # 157",
            "city": "CLIFTON",
            "state": "VA",
            "postal_code": "201241088",
            "telephone_number": "703-272-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 SPOTSYLVANIA AVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224088606",
            "telephone_number": "540-741-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELL J SHELTON MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "CORNELL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "413-222-5925"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "0101251254",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geraldine Mary Corbett, RN
• Brianna Corbin, LCSW
• Candis Corbin, MT
• Core Power Physical Therapy and Wellness PLLC
• Cheryl Denise Corey
• Chelsea Alexandra Cornett, MA, LPC
• Holly Corrigan, PHARMD
• Heidi Ann Corwin, COTA
• Costco Wholesale Corporation
• Costco Wholesale Corporation

• Physical Medicine & Rehabilitation Physician in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Physical Medicine & Rehabilitation Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.