Robert P Shackelford

Primary specialty

Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X

Legal business name

ROBERT P SHACKELFORD

Doing business as

Sulphur Springs Orthopedic

Practice address

113 Medical Cir
Sulphur Springs, TX 75482-2138

Phone

(903) 439-6302

Fax

(903) 439-2765

NPI assigned

May 4, 2007

Last updated

Jun 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy Shackelford

Title

Office Manager

Phone

(903) 439-6302

Specialties & licenses 1

Addresses

Other names 1

• Sulphur Springs Orthopedic Doing business as

Tax ID family

Robert P Shackelford2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Robert P Shackelford MD

  dba Sulphur Springs Orthopedic

  • Durable Medical Equipment & Medical Supplies
  • Sulphur Springs, TX
  • NPI 1679745962
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert P Shackelford, MD

  • Orthopaedic Surgery Physician
  • Sulphur Springs, TX
  • NPI 1578633236
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1447462205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 MEDICAL CIR",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822138",
            "telephone_number": "903-439-6302",
            "fax_number": "903-439-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MEDICAL CIR",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822138",
            "telephone_number": "903-439-6302",
            "fax_number": "903-439-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT P SHACKELFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "SHACKELFORD",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "903-439-6302",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sulphur Springs Orthopedic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dusty Rhoades, MSN, APRN, FNP-C
• Justina Michele Rider, NP
• Katrina L Riley, FNP-C
• Regina P Rivera, MD
• Reagan Roach, APRN
• Robert P Shackelford M D (Sulphur Springs Orthopedics)
• Robert P Shackelford MD (Sulphur Springs Orthopedic)
• Joel Robinson, DPM
• Tyler Evan Robison, DMD
• Rock Creek Health and Rehabilitation LLC

• Pediatric Orthopaedic Surgery Physician in Sulphur Springs, TX
• Providers in Sulphur Springs, TX by specialty
• Pediatric Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.