Robert P Shackelford M D

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ROBERT P SHACKELFORD M D

Practice address

113 Medical Cir
Sulphur Springs, TX 75482-2138

Phone

(903) 439-6302

Fax

(903) 439-2765

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy Shackelford

Title

Office Manager

Phone

(903) 439-6305

Specialties & licenses 1

Addresses

Other names 1

• Sulphur Springs Orthopedics Doing business as

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1902930712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 MEDICAL CIR",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822138",
            "telephone_number": "903-439-6302",
            "fax_number": "903-439-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MEDICAL CIR",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822138",
            "telephone_number": "903-439-6302",
            "fax_number": "903-439-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT P SHACKELFORD M D",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "SHACKELFORD",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "903-439-6305",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sulphur Springs Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Justina Michele Rider, NP
• Katrina L Riley, CFNP
• Regina P Rivera, MD
• Reagan Roach, APRN
• Robert P Shackelford
• Robert P Shackelford MD
• Joel Robinson, DPM
• Tyler Evan Robison, DMD
• Rock Creek Health and Rehabilitation LLC
• Abbey Ellen Roper, NP-C

• Durable Medical Equipment & Medical Supplies in Sulphur Springs, TX
• Providers in Sulphur Springs, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.