Organization Active NPI

Shirley & Associates Chartered Inc.

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
National Provider Identifier
1265614465
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
ME21555 Issued in FL
Legal business name
SHIRLEY & ASSOCIATES CHARTERED INC.
Practice address
3728 Phillips Hwy
Suite 214a
Jacksonville, FL 32207-9300
Phone
(904) 398-2010
Fax
(904) 398-7154
NPI assigned
Nov 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Dr. Paul D Shirley, M.D.NPI 1467428920
Title
President
Phone
(904) 398-2010

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
Durable Medical Equipment & Medical Supplies 332B00000X ME21555 FL Primary

Addresses

Primary practice location

3728 Phillips Hwy
Suite 214a
Jacksonville, FL 32207-9300

Mailing address

3728 Phillips Hwy
Suite 214a
Jacksonville, FL 32207-9300
Phone (904) 398-2010

National Provider Directory

National Provider Directory

Locations

3728 Philips Hwy
Ste 214A
Jacksonville, FL 32207
Phone (904) 390-1766

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1265614465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3728 PHILLIPS HWY",
            "address_2": "SUITE 214A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079300",
            "telephone_number": "904-398-2010",
            "fax_number": "904-398-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3728 PHILLIPS HWY",
            "address_2": "SUITE 214A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079300",
            "telephone_number": "904-398-2010",
            "fax_number": "904-398-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY & ASSOCIATES CHARTERED INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "SHIRLEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-398-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "ME21555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.