Shirley S Smith M D PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

20739 Issued in AS

Legal business name

SHIRLEY S SMITH M D PLLC

Practice address

3219 E Camelback Rd Ste 188
Phoenix, AZ 85018-2307

Phone

(602) 395-0718

Fax

(602) 277-8146

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Leslie Digges

Title

Office Manager

Phone

(602) 395-0718

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 3

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.

• Shirley S Smith, MD

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1326015827
  Medicare reassignment NPD
• Matthew Adam Defelice, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Phoenix, AZ
  • NPI 1013914696
  NPD (past)
• Ketan S Patel, MD

  • Reproductive Endocrinology Physician
  • Scottsdale, AZ
  • NPI 1538116819
  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1659316446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3219 E CAMELBACK RD STE 188",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182307",
            "telephone_number": "026-432-5971",
            "fax_number": "602-267-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3219 E CAMELBACK RD STE 188",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182307",
            "telephone_number": "602-395-0718",
            "fax_number": "602-277-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY S SMITH M D PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "DIGGES",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "602-395-0718"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "AS",
            "license": "20739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096265",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Keenan Shirav, RMA
• Gila Heike Shire
• Lora Anna Shirey, MD
• Logan Austin Shirk, PHARMD, MBA
• Samantha Paige Shirk, PHARMD, MBA
• Katherine Shirley
• Shirvan, Inc.
• Michael Shishov, MD
• Naini Shiswawala
• Cynthia J Shively, FNP-BC

• Anesthesiology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Anesthesiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.