Organization Active NPI

Patricia Shirley, M.D., PLLC

  • Primary Care Clinic/Center
  • Abilene, TX
National Provider Identifier
1184056418
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
P7566 Issued in TX
Legal business name
PATRICIA SHIRLEY, M.D., PLLC
Practice address
950 N 19TH St
Suite 100
Abilene, TX 79601-2494
Phone
(325) 672-3252
Fax
(325) 672-3009
NPI assigned
Aug 9, 2013
Last updated
Aug 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Authorized official

Name
Patricia Shirley, M.D.NPI 1437470002
Title
President
Phone
(325) 672-3252

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X P7566 TX Primary

Addresses

Primary practice location

950 N 19TH St
Suite 100
Abilene, TX 79601-2494

Mailing address

950 N 19TH St
Suite 100
Abilene, TX 79601-2494
Phone (325) 672-3252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140902001462 TX Part B Supplier - Clinic/Group Practice 3072731116 Receives reassigned benefits from 1 practitioner
Practice locations: Abilene, TX

National Provider Directory

National Provider Directory

Locations

950 N 19th St
Ste 100
Abilene, TX 79601
Phone (325) 670-7187

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1184056418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N 19TH ST",
            "address_2": "SUITE 100",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012494",
            "telephone_number": "325-672-3252",
            "fax_number": "325-672-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N 19TH ST",
            "address_2": "SUITE 100",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012494",
            "telephone_number": "325-672-3252",
            "fax_number": "325-672-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA SHIRLEY, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-09",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "SHIRLEY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "325-672-3252",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "P7566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.