William L Shisko,D.O., P.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

35717 Issued in MO

Legal business name

WILLIAM L SHISKO,D.O., P.C.

Practice address

9628 Midland Blvd
Suite 2
Saint Louis, MO 63114-3353

Phone

(314) 423-4070

Fax

(314) 423-2909

NPI assigned

Dec 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. William L Shisko, D.O.

Title

Physician

Phone

(314) 423-4070

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1437427762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9628 MIDLAND BLVD",
            "address_2": "SUITE 2",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631143353",
            "telephone_number": "314-423-4070",
            "fax_number": "314-423-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9628 MIDLAND BLVD",
            "address_2": "SUITE 2",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631143353",
            "telephone_number": "314-423-4070",
            "fax_number": "314-423-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM L SHISKO,D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "SHISKO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "314-423-4070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MO",
            "license": "35717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• General Practice Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.