Dr Pamela Shackley DC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH3827 Issued in FL

Legal business name

DR PAMELA SHACKLEY DC PA

Doing business as

Advanced Chiropractic Center

Practice address

1217 S East Ave
Suite 207
Sarasota, FL 34239-2344

Phone

(941) 955-6080

Fax

(941) 957-1142

NPI assigned

Jul 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Pamela D Shackley, DC

Title

Administrator

Phone

(941) 955-6080

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced Chiropractic Center Doing business as

Locations

Practitioners 1

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

• Arno G Loeffler, MD

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1619989191
  NPD (past)

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1972732857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 S EAST AVE",
            "address_2": "SUITE 207",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392344",
            "telephone_number": "941-955-6080",
            "fax_number": "941-957-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 S EAST AVE",
            "address_2": "SUITE 207",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392344",
            "telephone_number": "941-955-6080",
            "fax_number": "941-957-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PAMELA SHACKLEY DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-13",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "SHACKLEY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "941-955-6080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH3827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3820050-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.