Marjorie E Shirosky, PA,C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

312 Issued in MA

Practice address

201 Quincy St
Brockton, MA 02302-2926

Phone

(508) 584-1890

Fax

(508) 580-3332

NPI assigned

Apr 26, 2007

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)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508086372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 QUINCY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022926",
            "telephone_number": "508-584-1890",
            "fax_number": "508-580-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 QUINCY ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023022926",
            "telephone_number": "508-584-1890",
            "fax_number": "508-580-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIROSKY",
        "first_name": "MARJORIE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "PA,C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuhao Tom Shi, MD
• Shields Radiology Associates, P.C.
• Shields Signature Imaging, LLC
• Joan Kilgarriff Shields, RPH
• Shivani Shirgavi, D.M.D.
• Ninaz Shiva, D.M.D.
• Lori Veit Shoyer
• Jestyn Shoyoola
• Joseph Aaron Shrand, MD
• Rachana Shrestha

• Medical Physician Assistant in Brockton, MA
• Providers in Brockton, MA by specialty
• Medical Physician Assistant in Massachusetts

• 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.