Alan Dale Shiller, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

H8398 Issued in TX

Practice address

3323 S Loop 256
Palestine, TX 75801-6977

Phone

(903) 723-1010

Fax

(903) 723-0314

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457464356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3323 S LOOP 256",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758016977",
            "telephone_number": "903-723-1010",
            "fax_number": "903-723-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3323 S LOOP 256",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "758016977",
            "telephone_number": "903-723-1010",
            "fax_number": "903-723-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHILLER",
        "first_name": "ALAN",
        "middle_name": "DALE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "H8398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126630605",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "8J8980",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Senior Management Services of Palestine Inc
• Nejla Shami, M.D.
• Sandra Sheperd
• Amy Sheridan, FNP, PMHNP
• Shiller Surgery Center, Inc
• Barbara Shiller, P.T.
• Tania Shinohara, N.P.
• Rebecca Taylor Shipley, NP
• Carla Shirley, FNP
• Julia Lace Short, FNP-C

• Ophthalmology Physician in Palestine, TX
• Providers in Palestine, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.