Active NPI
Michael Wade Shifflett, M.D.
- Orthopaedic Surgery Physician
- Napa, CA
National Provider Identifier
1861439515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G43050
- Practice address
- 3273 Claremont Way
Suite 100
Napa, CA 94558-2908 - Phone
- (707) 254-7117
- Fax
- (707) 265-6435
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G43050 | CA | Primary |
Addresses
Primary practice location
3273 Claremont Way
Suite 100
Napa, CA 94558-2908
Mailing address
3273 Claremont Way
Suite 100
Napa, CA 94558-3306
Phone (707) 254-7117
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G43050 | Other | CA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G43050 | CA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Veterans Home of California | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Skilled Nursing Facility
- Yountville, CA
- NPI 1104811751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365552000000",
"number": "1861439515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3273 CLAREMONT WAY",
"address_2": "SUITE 100",
"city": "NAPA",
"state": "CA",
"postal_code": "945583306",
"telephone_number": "707-254-7117",
"fax_number": "707-265-6435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3273 CLAREMONT WAY",
"address_2": "SUITE 100",
"city": "NAPA",
"state": "CA",
"postal_code": "945582908",
"telephone_number": "707-254-7117",
"fax_number": "707-265-6435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIFFLETT",
"first_name": "MICHAEL",
"middle_name": "WADE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2013-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G43050",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "G43050",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.