Individual provider Active NPI

Tara Fay Shirley, DPM

  • Foot & Ankle Surgery Podiatrist
  • Tucson, AZ
National Provider Identifier
1659514818
Registry record updated Sep 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0755 Issued in AZ
Practice address
899 N Wilmot Road Ste E6
Tucson, AZ 85711-1714
Phone
(520) 745-2222
Fax
(520) 745-1211
NPI assigned
Apr 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0755 AZ Primary

Addresses

Primary practice location

899 N Wilmot Road Ste E6
Tucson, AZ 85711-1714

Mailing address

899 N Wilmot Road Ste E6
Tucson, AZ 85711-1714
Phone (520) 745-2222

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

Practice roles

OrganizationSpecialtyStatusNew patients
Head to Toe Healthcare, PLC Foot & Ankle Surgery Past Accepting new patients
Glesinger Multicare PLC Foot & Ankle Surgery PastSince Jan 25, 2005 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1659514818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 N WILMOT ROAD STE E6",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111714",
            "telephone_number": "520-745-2222",
            "fax_number": "520-745-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 N WILMOT ROAD STE E6",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111714",
            "telephone_number": "520-745-2222",
            "fax_number": "520-745-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRLEY",
        "first_name": "TARA",
        "middle_name": "FAY",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-16",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AZ",
            "license": "0755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.