Cornel J Shelton MD LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

D0063535 Issued in MD

Legal business name

CORNEL J SHELTON MD LLC

Practice address

157 Fleet St
PH5
Oxon Hill, MD 20745-1586

Phone

(413) 222-5925

NPI assigned

Nov 16, 2011

Last updated

Nov 16, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Cornell J Shelton, MD

Title

Owner

Phone

(413) 222-5925

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1821375049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 FLEET ST",
            "address_2": "PH5",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451586",
            "telephone_number": "413-222-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 FLEET ST",
            "address_2": "PH5",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451586",
            "telephone_number": "413-222-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNEL J SHELTON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "CORNELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-222-5925",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D0063535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Oxon Hill, MD by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.