DR. PAUL CLARKE SHELLITO MD NPI 1952391500

NPI Information

  • NPI: 1952391500
  • Provider Name: DR. PAUL CLARKE SHELLITO, MD
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • Address: 15 PARKMAN ST
    WAC 460
    BOSTON, MA
    ZIP 02114
  • Phone: (617) 724-0365

Map and Directions

Get Directions

NPI Details

DR. Paul Clarke Shellito, MD is a surgery in Boston, MA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DR. Paul Clarke Shellito, MD NPI is 1952391500. 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:

15 PARKMAN ST
WAC 460
BOSTON, MA
ZIP 02114-117
Phone: (617) 724-0365
Fax: (617) 724-3943

The enumeration date for this NPI number is 10/25/2005 and was last updated on 7/8/2007.

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
1208600000XSurgery49343MASSACHUSETTSYes

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
1714301OTHERMASSACHUSETTSTUFTS HEALTH PLAN
2E05768OTHERMASSACHUSETTSBCBS MA
3E05768MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
46199267MEDICAIDMASSACHUSETTS
5A54822MEDICARE UPIN

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: 3/30/2025

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