Philip L. Shettle D.O., P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PHILIP L. SHETTLE D.O., P.A.

Practice address

670 N. Clearwater - Largo Road
Largo, FL 33770-2377

Phone

(727) 581-8755

Fax

(727) 581-8756

NPI assigned

Oct 31, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Philip L. Shettle, D.O.NPI 1427056548

Title

Owner

Phone

(727) 581-8755

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Philip Leroy Shettle, D.O.

  • Ophthalmology Physician
  • Largo, FL
  • NPI 1427056548
  Authorized official Same address or phone
• Todd Alan Shettle, O.D.

  • Optometrist
  • Largo, FL
  • NPI 1194725663
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649356775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 N. CLEARWATER - LARGO ROAD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702377",
            "telephone_number": "727-581-8755",
            "fax_number": "727-581-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 N. CLEARWATER - LARGO ROAD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702377",
            "telephone_number": "727-581-8755",
            "fax_number": "727-581-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP L. SHETTLE D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHETTLE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-581-8755",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Edward Petrilli, DO
• Mary E. Pettit, P.A.-C.
• Christina Pham
• Vy Thao Pham, DO
• Pharmacy Corporation of America (Pharmerica)
• Philip W Christ DO PA
• Kimberley Joyce Philip, APRN
• Susan G Phipps, RPH
• Phoenix Psychiatry1 LLC
• Physical Therapy Solutions LLC

• Ophthalmology Physician in Largo, FL
• Providers in Largo, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.