James M Shirilla, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

JS036674 Issued in MI

Practice address

405 N Division Rd
Suite 3
Petoskey, MI 49770-9045

Phone

(231) 487-3980

Fax

(231) 439-0278

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1730109463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W FLETCHER ST",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497072301",
            "telephone_number": "989-354-0845",
            "fax_number": "989-354-2965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N DIVISION RD",
            "address_2": "SUITE 3",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709045",
            "telephone_number": "231-487-3980",
            "fax_number": "231-439-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRILLA",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "JS036674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD #",
            "identifier": "1102428731",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4177153",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcia Shattuck, MD
• Gary H Shaw, M.D.
• Robert Scott Sheperd, DDS
• Todd M Sheperd, MD
• Adrienne Josephine Shiels, LLMSW
• Melinda Yvette Short, AGACNP-BC, BSN, RN
• Sharon Sierzputowski, P.A.C.
• Marla M Signs, D.O.
• Linda Gail Silfven, MD
• Tara Leigh Simon, DNP, CRNA

• Geriatric Medicine (Internal Medicine) Physician in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Geriatric Medicine (Internal Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.