Michelle Shula, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9106956 Issued in FL

Practice address

1166 W Newport Center Dr
Suite 100
Deerfield Beach, FL 33442-7739

Phone

(954) 782-7701

NPI assigned

Nov 28, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dermatology and Skin Cancer Center of South Carolina PC

  • MOHS-Micrographic Surgery Physician
  • Myrtle Beach, SC
  • NPI 1073946315
  NPD (past)

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517788800000",
    "number": "1447595665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 W NEWPORT CENTER DR",
            "address_2": "SUITE 100",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334427739",
            "telephone_number": "954-782-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 W NEWPORT CENTER DR",
            "address_2": "SUITE 100",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334427739",
            "telephone_number": "954-782-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULA",
        "first_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-28",
        "last_updated": "2018-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9106956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Lynnett Shirley
• Sabrina Shivar
• Michael Jay Shore, DPM
• Jayla Shotwell
• Amanda Shrake
• Ana Shuman
• Martha Shumway
• Scott Shurpin, CPT LMT
• Victoria Sibai
• Susan Sidwell, MA

• Medical Physician Assistant in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2018; 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.