Organization Active NPI

Paradise Coast Breast Specialists LLC

  • Surgery Physician
  • Naples, FL
National Provider Identifier
1184106973
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME123757 Issued in FL
Legal business name
PARADISE COAST BREAST SPECIALISTS LLC
Practice address
7955 Airport Rd N Ste 100
Naples, FL 34109-1794
Phone
(239) 734-3533
NPI assigned
Aug 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Authorized official

Name
Mrs. Troy Shell, MD
Title
Owner
Phone
(239) 734-3533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X ME123757 FL Primary

Addresses

Primary practice location

7955 Airport Rd N Ste 100
Naples, FL 34109-1794

Mailing address

7955 Airport Rd N Ste 100
Naples, FL 34109-1794
Phone (239) 734-3533

Other identifiers 1

IdentifierTypeStateIssuer
ME123757OtherFLMEDICAL LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601251200000",
    "number": "1184106973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7955 AIRPORT RD N STE 100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341091794",
            "telephone_number": "239-734-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7955 AIRPORT RD N STE 100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341091794",
            "telephone_number": "239-734-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE COAST BREAST SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A",
        "authorized_official_last_name": "SHELL",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-734-3533",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME123757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME123757",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.