Shankar A Shetty, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME43522 Issued in FL

Practice address

126 Foote-Hilyer
Tallahassee, FL 32307

Phone

(850) 599-3777

Fax

(850) 599-3742

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396857793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 FOOTE-HILYER",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32307",
            "telephone_number": "850-599-3777",
            "fax_number": "850-599-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 FOOTE-HILYER",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32307",
            "telephone_number": "850-599-3777",
            "fax_number": "850-599-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETTY",
        "first_name": "SHANKAR",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME43522",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "023799",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0688177",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian G Sherman, M.D.
• Douglas P Sherman, MD
• Terry Wayne Sherraden, M.D.
• Tavarus Lamar Sherrod
• Taylor Sherrod
• Alyssa Shipe
• Valerie Shipley, RN
• Judith Shipman, SW
• Robert Martin Shipman, PA
• Shandricka Shipp

• Internal Medicine Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.