Organization Active NPI

Joseph a Shirer, MD, PA

  • Dermatology Physician
  • Ocoee, FL
National Provider Identifier
1972872000
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME53557 Issued in FL
Legal business name
JOSEPH A SHIRER, MD, PA
Practice address
10000 W Colonial Dr
Suite 481
Ocoee, FL 34761-3400
Phone
(407) 463-0672
Fax
(407) 581-2777
NPI assigned
Dec 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Authorized official

Name
Dr. Joseph Shirer, MDNPI 1740290956
Title
President
Phone
(407) 521-3550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X ME53557 FL Primary

Addresses

Primary practice location

10000 W Colonial Dr
Suite 481
Ocoee, FL 34761-3400

Mailing address

10000 W Colonial Dr
Suite 481
Ocoee, FL 34761-3400
Phone (407) 463-0672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120223000269 FL Part B Supplier - Clinic/Group Practice 7012175995 Receives reassigned benefits from 1 practitioner
Practice locations: Ocoee, FL

National Provider Directory

National Provider Directory

Locations

1067 S Clarke Rd
Ocoee, FL 34761
Phone (407) 521-3550

10000 W Colonial Dr
Ste 481
Ocoee, FL 34761
Phone (407) 463-0672

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1972872000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR",
            "address_2": "SUITE 481",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613400",
            "telephone_number": "407-463-0672",
            "fax_number": "407-581-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 W COLONIAL DR",
            "address_2": "SUITE 481",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347613400",
            "telephone_number": "407-463-0672",
            "fax_number": "407-581-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH A SHIRER, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "SHIRER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-521-3550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME53557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.