Robert P Shackelford MD

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

G0922 Issued in TX

Legal business name

ROBERT P SHACKELFORD MD

Practice address

113 Medical Cir
Sulphur Springs, TX 75482-2138

Phone

(903) 439-6302

Fax

(903) 439-2765

NPI assigned

Mar 27, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy Shackelford, RN

Title

Office Manager

Phone

(903) 439-6302

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sulphur Springs Orthopedic Doing business as

Tax ID family

Robert P Shackelford2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Robert P Shackelford

  • Pediatric Orthopaedic Surgery Physician
  • Sulphur Springs, TX
  • NPI 1447462205
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert P Shackelford, MD

  • Orthopaedic Surgery Physician
  • Sulphur Springs, TX
  • NPI 1578633236
  NPD (past)

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1679745962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 MEDICAL CIR",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822138",
            "telephone_number": "903-439-6302",
            "fax_number": "903-439-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MEDICAL CIR",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822138",
            "telephone_number": "903-439-6302",
            "fax_number": "903-439-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT P SHACKELFORD MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "SHACKELFORD",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "903-439-6302",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "G0922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOVERNMENT SERVICES",
            "identifier": "0657500001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sulphur Springs Orthopedic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katrina L Riley, CFNP
• Regina P Rivera, MD
• Reagan Roach, APRN
• Robert P Shackelford
• Robert P Shackelford M D
• Joel Robinson, DPM
• Tyler Evan Robison, DMD
• Rock Creek Health and Rehabilitation LLC
• Abbey Ellen Roper, NP-C
• Daniel P Roper Jr., D.D.S.

• Durable Medical Equipment & Medical Supplies in Sulphur Springs, TX
• Providers in Sulphur Springs, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.