Glenn Michael Shipley, D.O.

Primary specialty

Clinical Informatics PhysicianTaxonomy code 2083C0008X

License

J3607 Issued in TX

Practice address

3401 N University Ave
Lubbock, TX 79415-1734

Phone

(806) 741-3609

Fax

(806) 741-3604

NPI assigned

Dec 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Health and Human Services Commission

  • Long Term Care Pharmacy
  • Lubbock, TX
  • NPI 1104990365
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1588728596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W 51ST ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787512312",
            "telephone_number": "512-438-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N UNIVERSITY AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794151734",
            "telephone_number": "806-741-3609",
            "fax_number": "806-741-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPLEY",
        "first_name": "GLENN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "GA",
            "license": "058643",
            "primary": false
        },
        {
            "code": "2083C0008X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Clinical Informatics",
            "state": "TX",
            "license": "J3607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zuhair Mohammod Shihab, MD
• Shiloh Counseling Services
• Shiloh Counseling Services, LLC
• Makinsey Shimfessel
• Brittney Shipley, RN, BSN, IBCLC
• Kevin Jay Shively Jr., DMD
• Michael Lynn Shobe, BC-HIS
• Alyssa Shoemaker, OTR
• Goutam Pada Shome, M.D.
• Holly Dawn Short, PA

• Clinical Informatics Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Clinical Informatics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.