Shirley'S Shoe Shoppe Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

6000006405 Issued in PA

Legal business name

SHIRLEY'S SHOE SHOPPE INC.

Practice address

1400 11TH Ave
Altoona, PA 16601-3304

Phone

(814) 941-7424

Fax

(814) 941-2118

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Samuel Scheinberg, C.PED O.S.T.

Title

President

Phone

(814) 941-7424

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1366599581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2006",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166032006",
            "telephone_number": "814-941-7424",
            "fax_number": "814-941-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 11TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166013304",
            "telephone_number": "814-941-7424",
            "fax_number": "814-941-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY'S SHOE SHOPPE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "SCHEINBERG",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-941-7424",
        "authorized_official_credential": "C.PED O.S.T."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "PA",
            "license": "6000006405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRUG AND DEVICE  PA DEPT",
            "identifier": "6000006405",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mohamed Shehab Eldin, M.D.
• Carmen Michelle Sherry, CRNP
• Samantha Sherry, RRA,RPA
• Colleen Shields
• Hannah Shingler
• Michael E Shivers, M.D.
• Andrea Lynne Shivery
• Amanda Sue Shoenfelt, B.S.
• Anna Shope, PHARM. D.
• Randall R Shope, RPH, MBA

• Customized Equipment (DME) in Altoona, PA
• Providers in Altoona, PA by specialty
• Customized Equipment (DME) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.