Maurieke D. Shyelle, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

36015 Issued in CO

Practice address

75 Manhattan Dr
Suite 4
Boulder, CO 80303-4254

Phone

(303) 919-9963

Fax

(303) 997-9575

NPI assigned

Mar 23, 2010

Last updated

Mar 23, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1619291416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 YARMOUTH AVE",
            "address_2": "SUITE 210",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044371",
            "telephone_number": "303-919-9963",
            "fax_number": "303-997-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MANHATTAN DR",
            "address_2": "SUITE 4",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034254",
            "telephone_number": "303-919-9963",
            "fax_number": "303-997-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHYELLE",
        "first_name": "MAURIEKE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "36015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Jones Shumaker, FNP
• Mitchell Shuman
• Erica Shure, MA, LPCC
• Mark Shusterman, M.D.
• Sarah Rose Shuwarger
• Lonnie M Sibley Jr., DDS
• Paul A Sica III, D.M.D.
• Molly Sicard, ATC
• Jeffrey Scott Sidders
• Lodi Siefer

• Internal Medicine Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.