Active NPI
Gail Ellen Shirley, D.O.
- Sports Medicine (Family Medicine) Physician
- Stroudsburg, PA
National Provider Identifier
1528156460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- OS005037L
- Practice address
- Rte 611 & Frantz Rd. Bartonsville Plaza, 7
PMC Physician Associates Internal Medicine
Stroudsburg, PA 18360 - Phone
- (570) 476-3700
- Fax
- (570) 476-3637
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | OS005037L | PA | Primary |
Addresses
Primary practice location
Rte 611 & Frantz Rd. Bartonsville Plaza, 7
PMC Physician Associates Internal Medicine
Stroudsburg, PA 18360
Mailing address
206 E Brown St
Pocono Healthcare Management-Professional Center
East Stroudsburg, PA 18301-3006
Phone (570) 420-4951
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2822326 | Other | PA | AETNA PROVIDER NUMBER |
| P661341 | Other | PA | OXFORD PROVIDER NUMBER |
| 5997984 | Other | PA | GHI PROVIDER NUMBER |
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 Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1528156460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 E BROWN ST",
"address_2": "POCONO HEALTHCARE MANAGEMENT-PROFESSIONAL CENTER",
"city": "EAST STROUDSBURG",
"state": "PA",
"postal_code": "183013006",
"telephone_number": "570-420-4951",
"fax_number": "570-476-3754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RTE 611 & FRANTZ RD. BARTONSVILLE PLAZA, 7",
"address_2": "PMC PHYSICIAN ASSOCIATES INTERNAL MEDICINE",
"city": "STROUDSBURG",
"state": "PA",
"postal_code": "18360",
"telephone_number": "570-476-3700",
"fax_number": "570-476-3637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRLEY",
"first_name": "GAIL",
"middle_name": "ELLEN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "PA",
"license": "OS005037L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "2822326",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER NUMBER",
"identifier": "P661341",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PROVIDER NUMBER",
"identifier": "5997984",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stroudsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.