Mark W. Shelton M.D. PLLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

24579 Issued in TN

Legal business name

MARK W. SHELTON M.D. PLLC

Practice address

397 Wallace Rd
Ste 414
Nashville, TN 37211-4854

Phone

(816) 832-8186

Fax

(816) 832-8310

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Mark W Shelton, M.D.NPI 1174574214

Title

Chief Manager

Phone

(816) 832-8186

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mark Wayne Shelton, MD

  • Vascular Surgery Physician
  • Nashville, TN
  • NPI 1174574214
  NPD (past) Authorized official

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902003775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 WALLACE RD",
            "address_2": "STE 414",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114854",
            "telephone_number": "816-832-8186",
            "fax_number": "816-832-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 WALLACE RD",
            "address_2": "STE 414",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372114854",
            "telephone_number": "816-832-8186",
            "fax_number": "816-832-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK W. SHELTON M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "816-832-8186",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "24579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikayla Marin
• Alivia Marino
• Katherine Anne Marino, MD
• Jon David Marion, OT
• Mark a Benak MD Nashville PC
• Rachael Woody Mark
• John Nelson Markham III, CRNA
• Larry W Markham, M.D.
• Michelle M. Markham, OTD, OTR/L
• Nicholas Markham, M.D., PH.D.

• Vascular Surgery Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Vascular Surgery Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.