Shirley A Ice, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME71113 Issued in FL

Practice address

10762 SE US Highway 441
Belleview, FL 34420-3805

Phone

(352) 347-5225

Fax

(352) 347-1073

NPI assigned

Jan 6, 2006

Last updated

Jul 3, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of South Florida College of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Express Care of Belleview, LLCGroup PAC ID 6709794332, 2 clinicians

Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Home Advantage Health Care Home health agency, Belleview, FL, CCN 107675

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61486

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Express Care of Belleview, LLC

  • Rural Health Clinic/Center
  • Belleview, FL
  • NPI 1952357519

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Advantage Primary Care, PLLC

  • Family Medicine Physician
  • Dunnellon, FL
  • NPI 1871062307
  Medicare reassignment NPD
• Express Care of Belleview, LLC

  • General Practice Physician
  • Leesburg, FL
  • NPI 1831142389
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pinard Home Health Services, LLC

  dba Home Advantage Health Care

  • Home Health Agency
  • Belleview, FL
  • NPI 1184660185
  Care Compare affiliation

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1972581288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10762 SE US HIGHWAY 441",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344203805",
            "telephone_number": "352-347-5225",
            "fax_number": "352-347-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10762 SE US HIGHWAY 441",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344203805",
            "telephone_number": "352-347-5225",
            "fax_number": "352-347-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICE",
        "first_name": "SHIRLEY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME71113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253203400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donita Hotilal
• Candice J Howard, PHARMACY TECHNICIAN
• Ryan Hufford, LAC
• Melissa Hughes
• Shyann Ashlee Hunter
• Joselyn Catalina Izaguirre
• Patricia A Jackson
• Samantha Jackson
• Andrew Jenkins
• Judive Jocelyn, D.O

• Family Medicine Physician in Belleview, FL
• Providers in Belleview, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.