Michael L. Shelling, MD, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME111217 Issued in FL

Legal business name

MICHAEL L. SHELLING, MD, LLC

Practice address

10075 S Jog Rd Ste 206
Boynton Beach, FL 33437-3536

Phone

(561) 737-1100

Fax

(561) 731-4419

NPI assigned

Jul 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael Lawrence Shelling, M.D.NPI 1598924896

Title

Owner & Sole Proprietor

Phone

(561) 715-4666

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Michael Lawrence Shelling, M.D.

  • Dermatology Physician
  • Boynton Beach, FL
  • NPI 1598924896
  Medicare reassignment NPD Authorized official
• Christopher Kowalczyk, DO

  • Dermatology Physician
  • Boynton Beach, FL
  • NPI 1598389058
  Medicare reassignment
• Tal Roberts, N.P.

  • Nurse Practitioner
  • Boynton Beach, FL
  • NPI 1851645386
  Medicare reassignment

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1750646428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3045 WINDSOR PL",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334345347",
            "telephone_number": "561-715-4666",
            "fax_number": "561-998-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10075 S JOG RD STE 206",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373536",
            "telephone_number": "561-737-1100",
            "fax_number": "561-731-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L. SHELLING, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "SHELLING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER & SOLE PROPRIETOR",
        "authorized_official_telephone_number": "561-715-4666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME111217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MHP Behavioral Therapy
• Michael Berglass, DDS, PLLC
• Michael J. Konzela, D.D.S., P.a.
• Michael L Metzger MD PA
• Michael L. Levine MD PA
• Michael Rodriguez, D.M.D., P.a. (Ocean Dental Studio)
• Christina Adel Michael, MD
• Steven Michaels, DPM
• Johnny Michel, MD
• Merline Michel

• Dermatology Physician in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.