SHELLY R SVOBODA M.D. NPI 1891790952

NPI Information

NPI: 1891790952
Provider Name: SHELLY R SVOBODA, M.D.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
444 NW ELKS DR
CORVALLIS, OR
ZIP 97330
Phone: (541) 754-1150
Get Directions

Shelly R Svoboda, M.D. is a neurology psychiatry neurology in Corvallis, OR. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Shelly R Svoboda, M.D. NPI is 1891790952. 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:

444 NW ELKS DR
CORVALLIS, OR
ZIP 97330-745
Phone: (541) 754-1150

The enumeration date for this NPI number is 6/16/2005 and was last updated on 10/26/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	41101	MINNESOTA	No
2	2084N0400X	Psychiatry & Neurology	Neurology	MD152419	OREGON	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	130000851	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA
2	R155123	MEDICARE PIN	OREGON
3	P00958597	OTHER	OREGON	RAILROAD MEDICARE
4	G82782	MEDICARE UPIN
5	145421800	MEDICAID	MINNESOTA
6	500625065	MEDICAID	OREGON

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

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.

« Previous NPI

Next NPI »