Alan Shackelford, M.D

Primary specialty

SpecialistTaxonomy code 174400000X

License

33551 Issued in CO

Practice address

14001 E Iliff Ave
Suite 118
Aurora, CO 80014-1405

Phone

(303) 778-1131

NPI assigned

May 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Practice roles

Locations

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.

• Urgent Care Solutions Glendale, P.C.

  dba Doctors Express Cherrycreek

  • Urgent Care Clinic/Center
  • Denver, CO
  • NPI 1336491075
  NPD
• Urgent Care Solutions, Glendale, PC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Denver, CO
  • NPI 1184099418
  NPD

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699982686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 DIXON RD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803028747",
            "telephone_number": "303-440-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 E ILIFF AVE",
            "address_2": "SUITE 118",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141405",
            "telephone_number": "303-778-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHACKELFORD",
        "first_name": "ALAN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "33551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "33551",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Seymore, CLMT
• Brenda Jane Seymour, MD, PHD
• Yosef Seyoum
• Anthony Sgorrano
• Emily Kauvar Shabason, MD
• Joanna Shad
• Shadow Counseling
• Shadow Counseling
• Emma Shafer
• Aryona Shaffer, LMT

• Specialist in Aurora, CO
• Providers in Aurora, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.