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SHELBY LYNN WILBOURN M.D. NPI 1770650764


NPI Information

NPI: 1770650764
Provider Name: SHELBY LYNN WILBOURN, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Organization: PHOENIX OBSTETRICS-GYNECOLOGY LLC

PECOS Registration: Yes

Address:
1600 S ANDREWS AVE
SUITE 323 WEST WING
FORT LAUDERDALE, FL
ZIP 33316
Phone: (954) 355-5110
Get Directions

Shelby Lynn Wilbourn, M.D. is an obstetrics gynecology in Fort Lauderdale, FL with 38 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Shelby Lynn Wilbourn, M.D. NPI is 1770650764. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1986

The provider's business location address is:

1600 S ANDREWS AVE
SUITE 323 WEST WING
FORT LAUDERDALE, FL
ZIP 33316-510
Phone: (954) 355-5110
Fax: (954) 355-4919

The NPI 1770650764 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 11/29/2006 and was last updated on 3/2/2010.


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
1207VX0000XObstetrics & GynecologyObstetricsME106484FLORIDANo
2207V00000XObstetrics & Gynecology016025MAINEYes

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
1E71297MEDICARE UPINMAINE

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.