Organization Active NPI

Roger H.Shelling,M.D.,P.a.

  • Urology Physician
  • Ft.Lauderdale, FL
National Provider Identifier
1356435259
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME0035947 Issued in FL
Legal business name
ROGER H.SHELLING,M.D.,P.A.
Practice address
5601 N.Dixie Highway
Ft.Lauderdale, FL 33334
Phone
(954) 772-8207
Fax
(954) 938-8056
NPI assigned
Oct 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Roger Harris Shelling, MDNPI 1447362306
Title
Physician/Urologist
Phone
(954) 772-8207

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
Urology Physician 208800000X ME0035947 FL Primary

Addresses

Primary practice location

5601 N.Dixie Highway
Ft.Lauderdale, FL 33334

Mailing address

5601 N.Dixie Highway
Ft.Lauderdale, FL 33334
Phone (954) 772-8207

Other identifiers 1

IdentifierTypeStateIssuer
66117100MedicaidFL

National Provider Directory

National Provider Directory

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356435259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 N.DIXIE HIGHWAY",
            "city": "FT.LAUDERDALE",
            "state": "FL",
            "postal_code": "33334",
            "telephone_number": "954-772-8207",
            "fax_number": "954-938-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 N.DIXIE HIGHWAY",
            "city": "FT.LAUDERDALE",
            "state": "FL",
            "postal_code": "33334",
            "telephone_number": "954-772-8207",
            "fax_number": "954-938-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER H.SHELLING,M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHELLING",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "PHYSICIAN/UROLOGIST",
        "authorized_official_telephone_number": "954-772-8207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME0035947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66117100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft.Lauderdale, FL

Sources for this page

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