Active NPI
Lyndle Duane Shelby, M.D.
- Family Medicine Physician
- Sioux Center, IA
National Provider Identifier
1407294630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 43349
- Practice address
- 1101 9TH St SE
Sioux Center, IA 51250-2501 - Phone
- (712) 722-2609
- Fax
- (712) 722-8426
- NPI assigned
- Jun 10, 2013
- Last updated
- Sep 24, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 43349 | IA | Primary |
Addresses
Primary practice location
1101 9TH St SE
Sioux Center, IA 51250-2501
Mailing address
421 W Broadway Ste 200
Council Bluffs, IA 51503-9046
Phone (712) 322-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43349 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ida County Iowa Community Hospital | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Horn Memorial Hospital ER Physicians
- Emergency Medicine Physician
- Ida Grove, IA
- NPI 1053327775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632441600000",
"number": "1407294630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 W BROADWAY STE 200",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515039046",
"telephone_number": "712-322-6000",
"fax_number": "712-322-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 9TH ST SE",
"city": "SIOUX CENTER",
"state": "IA",
"postal_code": "512502501",
"telephone_number": "712-722-2609",
"fax_number": "712-722-8426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELBY",
"first_name": "LYNDLE",
"middle_name": "DUANE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-10",
"last_updated": "2021-09-24",
"certification_date": "2021-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "43349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Center, IA
- Catalina Uribe Schmit, DDS
- Clayton Lee Schoellerman, D.C.
- Bethany Scholten, CNP
- Alison Joy Schutt, MD
- Kassie Wynne Scorza, MSW
- Sioux Center Chiropractic Wellness and Clinic PC
- Sioux Center Community Hospital & Health Center
- Sioux Center Community Hospital & Health Center (Franken Manor)
- Sioux Center Community Hospital and Health Center (The Clinic at Walmart operated by Sioux Center Medical Clinic)
- Sioux Center Community Schools (Sioux Center Community School District)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.