MRS. SHELLEY M GILBERT RPA-C NPI 1467698621

NPI Information

NPI: 1467698621
Provider Name: MRS. SHELLEY M GILBERT, RPA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
4301 DICK POND RD
MYRTLE BEACH, SC
ZIP 29588
Phone: (843) 652-8100
Get Directions

MRS. Shelley M Gilbert, RPA-C is a medical physician assistant in Myrtle Beach, SC. MRS. Shelley M Gilbert, RPA-C NPI is 1467698621. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4301 DICK POND RD
MYRTLE BEACH, SC
ZIP 29588-807
Phone: (843) 652-8100
Fax: (843) 652-8122

The NPI 1467698621 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/18/2008 and was last updated on 4/6/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	013354	NEW YORK	No
2	363AM0700X	Physician Assistant	Medical	TL2725		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A400014773	MEDICARE PIN	NEW YORK
2	TL2725	OTHER	SOUTH CAROLINA	SC MEDICAL LICENSE
3	J400005714	MEDICARE PIN	NEW YORK
4	03160950	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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