NPIMap

Organization Active NPI

Kahlil a Shillingford MD PA

  • Surgery Physician
  • Boca Raton, FL
National Provider Identifier
1205013620
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME93306 Issued in FL
Legal business name
KAHLIL A SHILLINGFORD MD PA
Practice address
9960 Central Park Blvd N
Suite 235
Boca Raton, FL 33428-1759
Phone
(561) 483-8840
Fax
(561) 483-3342
NPI assigned
Jan 28, 2008
Last updated
May 5, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Authorized official

Name
Dr. Kahlil A Shillingford, M.D.NPI 1366405169
Title
President
Phone
(954) 969-1355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME93306 FL Primary

Addresses

Primary practice location

9960 Central Park Blvd N
Suite 235
Boca Raton, FL 33428-1759

Mailing address

9960 Central Park Blvd N
Suite 235
Boca Raton, FL 33428-1759
Phone (561) 483-8840

National Provider Directory

National Provider Directory

Locations

9960 Central Park Blvd N
#2
Boca Raton, FL 33428
Phone (561) 483-8840

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": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1205013620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9960 CENTRAL PARK BLVD N",
            "address_2": "SUITE 235",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281759",
            "telephone_number": "561-483-8840",
            "fax_number": "561-483-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9960 CENTRAL PARK BLVD N",
            "address_2": "SUITE 235",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334281759",
            "telephone_number": "561-483-8840",
            "fax_number": "561-483-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAHLIL A SHILLINGFORD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "SHILLINGFORD",
        "authorized_official_first_name": "KAHLIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-969-1355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME93306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.