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RACQUEL D INNIS-SHELTON MD NPI 1356553408


NPI Information

NPI: 1356553408
Provider Name: RACQUEL D INNIS-SHELTON, MD
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

Organization: BIRMINGHAM HEMATOLOGY ONCOLOGY ASSOC LLC

PECOS Registration: Yes

Address:
619 19TH ST S
BIRMINGHAM, AL
ZIP 35249
Phone: (205) 934-4011
Get Directions

Racquel D Innis-shelton, MD is a hematology and oncology internal medicine in Birmingham, AL with 26 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. Racquel D Innis-shelton, MD NPI is 1356553408. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year:1998

The provider's business location address is:

619 19TH ST S
BIRMINGHAM, AL
ZIP 35249-900
Phone: (205) 934-4011

The NPI 1356553408 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 5/3/2007 and was last updated on 4/19/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training Program0116018506VIRGINIANo
2207RH0003XInternal MedicineHematology & Oncology28895ALABAMAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1102I014862OTHERMEDICARE
2051598339OTHERALABAMABLUE CROSS & BLUE SHIELD AL
3051598338OTHERALABAMABLUE CROSS & BLUE SHIELD AL
4110873MEDICAIDALABAMA
5051598340OTHERALABAMABLUE CROSS & BLUE SHIELD AL
6110861MEDICAIDALABAMA
704523704MEDICAIDMISSISSIPPI
8110794MEDICAIDALABAMA
9051598336OTHERALABAMABLUE CROSS & BLUE SHIELD AL
10110869MEDICAIDALABAMA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.