Shirey & Shirey M C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

00855 Issued in WV

Legal business name

SHIREY & SHIREY M C

Practice address

17 Red Oaks Shopping Ctr
Ronceverte, WV 24970-1348

Phone

(304) 645-1117

Fax

(304) 645-1148

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Robert A Shirey, M.D.NPI 1720073828

Title

President

Phone

(304) 645-1117

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 1

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

• Robert A Shirey, MD

  • Internal Medicine Physician
  • Ronceverte, WV
  • NPI 1720073828
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1295880391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 RED OAKS SHOPPING CTR",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249701348",
            "telephone_number": "304-645-1117",
            "fax_number": "304-645-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 RED OAKS SHOPPING CTR",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249701348",
            "telephone_number": "304-645-1117",
            "fax_number": "304-645-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIREY & SHIREY M C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "SHIREY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-645-1117",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "00855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD NUMBER",
            "identifier": "110049472",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA NUMBER",
            "identifier": "1306544SHIR",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0084194000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret G Shaffer
• Sharon Reynolds Fleschner
• Sharon Reynolds-Fleschner
• Crystal Gail Sheaves, FNP
• Shenandoah Manor, Inc
• Robert A Shirey, MD
• Amber Siders
• April Simms, R.N.
• Paton Smith
• Willie W Smith III, PA-C

• Internal Medicine Physician in Ronceverte, WV
• Providers in Ronceverte, WV by specialty
• Internal Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.