Active NPI
Roger Harris Shelling, MD
- Urology Physician
- Fort Lauderdale, FL
National Provider Identifier
1447362306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME0035947
- Practice address
- 5601 N Dixie Highway
Suite 317
Ft Lauderdale, FL 33334 - Phone
- (954) 772-8207
- Fax
- (954) 938-8056
- NPI assigned
- Aug 31, 2006
- Last updated
- Mar 10, 2008
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | ME0035947 | FL | Primary |
Addresses
Primary practice location
5601 N Dixie Highway
Suite 317
Ft Lauderdale, FL 33334
Mailing address
5601 N Dixie Highway
Suite 317
Ft Lauderdale, FL 33334
Phone (954) 772-8207
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66117100 | Medicaid | FL |
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 |
|---|---|---|---|
| ME0035947 | FL | MD | Urology Physician |
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.
-
- Urology Physician
- Ft.Lauderdale, FL
- NPI 1356435259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1447362306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 N DIXIE HIGHWAY",
"address_2": "SUITE 317",
"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",
"address_2": "SUITE 317",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "33334",
"telephone_number": "954-772-8207",
"fax_number": "954-938-8056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHELLING",
"first_name": "ROGER",
"middle_name": "HARRIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2008-03-10",
"status": "A"
},
"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 Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.