Emily Shissler, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA062013 Issued in PA

Practice address

3223 N Broad St FL 1
Philadelphia, PA 19140-5007

Phone

(215) 707-5437

NPI assigned

Nov 3, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Temple Faculty Practice Plan Inc

  • Anesthesiology Physician
  • Philadelphia, PA
  • NPI 1881176949
  Medicare reassignment
• Temple Faculty Practice Plan Inc

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1487136495
  NPD
• Temple Faculty Practice Plan Inc

  • Urology Physician
  • Voorhees, NJ
  • NPI 1407638794
  NPD
• Temple University of the Commonwealth System of Higher Education

  • Pain Medicine (Anesthesiology) Physician
  • Philadelphia, PA
  • NPI 1083602106
  NPD (past)
• Temple University of the Commonwealth System of Higher Education

  • Pediatrics Physician
  • Philadelphia, PA
  • NPI 1821086851
  NPD (past)

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1205437704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 S 8TH ST APT 7",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191472850",
            "telephone_number": "609-605-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 N BROAD ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405007",
            "telephone_number": "215-707-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHISSLER",
        "first_name": "EMILY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA062013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jean Shirk, PSYD
• Manoj Amrut Shirodkar, MD
• Monika Khanna Shirodkar, MD
• Adam Michael Shiroff, M.D.
• Ashley Somi Shirriff, MD
• Shiva Om LLC
• Poojita Shivamurthy, MD
• Raina Shivashankar, MD
• Matthew Shive, LPC
• Susan Shively, M.D.

• Physician Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.