Active NPI
Shelly Erford, MD
- Surgery Physician
- Medina, WA
National Provider Identifier
1588790422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A92213
- Practice address
- 8049 NE 28TH St
Medina, WA 98039-1557 - Phone
- (503) 381-7439
- NPI assigned
- Feb 26, 2007
- Last updated
- Jul 20, 2012
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A92213 | CA | Primary |
Addresses
Primary practice location
8049 NE 28TH St
Medina, WA 98039-1557
Mailing address
8049 NE 28TH St
Medina, WA 98039-1557
Phone (503) 381-7439
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 Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342742400000",
"number": "1588790422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8049 NE 28TH ST",
"city": "MEDINA",
"state": "WA",
"postal_code": "980391557",
"telephone_number": "503-381-7439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8049 NE 28TH ST",
"city": "MEDINA",
"state": "WA",
"postal_code": "980391557",
"telephone_number": "503-381-7439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERFORD",
"first_name": "SHELLY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2012-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A92213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medina, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.