Ira David Shandles, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POOOO1105 Issued in FL

Practice address

14310 N Dale Mabry Hwy Ste 180
Tampa, FL 33618-2059

Phone

(813) 960-0115

Fax

(813) 254-9192

NPI assigned

Jul 18, 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

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: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Tampa Bay Podiatry Associatespa

  • Foot & Ankle Surgery Podiatrist
  • Tampa, FL
  • NPI 1689787160
  NPD Authorized official

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1770502015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271490",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336881490",
            "telephone_number": "813-264-5100",
            "fax_number": "813-264-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14310 N DALE MABRY HWY STE 180",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182059",
            "telephone_number": "813-960-0115",
            "fax_number": "813-254-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANDLES",
        "first_name": "IRA",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "POOOO1105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fadi Shamma, PHARM-D
• Julie Shamma, D.O.
• Norman Joseph Shamp, C.P.O.
• Jenna Shanaah
• Sean Shand, AAC
• Shane Hockemeyer, DC PA
• Caitlin Shank
• Andre Shanks Jr., BS
• Adrienne Bruce Shannon, MD
• Brittany Shannon

• Foot & Ankle Surgery Podiatrist in Tampa, FL
• Providers in Tampa, FL by specialty
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; 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.