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DR. MICHAEL A SHIRLEY MD NPI 1700871811


NPI Information

NPI: 1700871811
Provider Name: DR. MICHAEL A SHIRLEY, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Address:
2200 RANDALLIA DR
FORT WAYNE, IN
ZIP 46805
Phone: (260) 373-4000
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DR. Michael A Shirley, MD is an emergency medicine in Fort Wayne, IN. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Michael A Shirley, MD NPI is 1700871811. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2200 RANDALLIA DR
FORT WAYNE, IN
ZIP 46805-638
Phone: (260) 373-4000
Fax: (260) 482-4442

The enumeration date for this NPI number is 9/14/2005 and was last updated on 5/15/2013.


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
1207P00000XEmergency Medicine01027570AINDIANAYes

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
1E05507MEDICARE UPININDIANA
22523380MEDICAIDOHIO
3104874679MEDICAIDMICHIGAN
4000000347091OTHERINDIANAANTHEM
5P00196618MEDICARE ID-TYPE UNSPECIFIEDRR MEDICARE
6000000030957OTHERMPLAN
7047840IIIIMEDICARE ID-TYPE UNSPECIFIEDINDIANAMEDICARE
8100187380MEDICAIDINDIANA

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.