Individual provider Active NPI

Joseph A Shirer, M.D.

  • Dermatology Physician
  • Ocoee, FL
National Provider Identifier
1740290956
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME0053557 Issued in FL
Practice address
10000 W Colonial Dr
Suite 481
Ocoee, FL 34761-3498
Phone
(407) 521-3550
Fax
(407) 521-3557
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME0053557 FL Primary

Addresses

Primary practice location

10000 W Colonial Dr
Suite 481
Ocoee, FL 34761-3498

Mailing address

10000 W Colonial Dr
Suite 481
Ocoee, FL 34761-3498
Phone (407) 521-3550

Other identifiers 2

IdentifierTypeStateIssuer
593233765OtherFLFEDERAL TAX ID
064736500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120223000295 FL Practitioner - Dermatology 5193983070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in New Orleans, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1067 S Clarke Rd
Ocoee, FL 34761-6995

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision380
Removal of tissue14
Removal of skin lesions2711
Removal or shaving of skin growth72
Skin biopsy1216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0053557FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph a Shirer, MD, PA Dermatology CurrentSince Jan 1, 2002 Accepting new patients

Locations

1067 S Clarke Rd
Ocoee, FL 34761
Phone (407) 521-3550

10000 W Colonial Dr
Ste 481
Ocoee, FL 34761
Phone (407) 463-0672

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740290956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR",
            "address_2": "SUITE 481",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613498",
            "telephone_number": "407-521-3550",
            "fax_number": "407-521-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR",
            "address_2": "SUITE 481",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613498",
            "telephone_number": "407-521-3550",
            "fax_number": "407-521-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRER",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME0053557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "593233765",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064736500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.