1740280130 NPI number — DR. DAVID SCOTT SHETTLE O.D.

Table of content: DR. DAVID SCOTT SHETTLE O.D. (NPI 1740280130)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740280130 NPI number — DR. DAVID SCOTT SHETTLE O.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHETTLE
Provider First Name:
DAVID
Provider Middle Name:
SCOTT
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
O.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740280130
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/28/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1084 RIVERSIDE RIDGE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TARPON SPRINGS
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34688-8802
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
727-422-2940
Provider Business Mailing Address Fax Number:
727-528-2010

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4200 4TH ST N
Provider Second Line Business Practice Location Address:
SUITE F
Provider Business Practice Location Address City Name:
ST PETERSBURG
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33703-4735
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-528-2015
Provider Business Practice Location Address Fax Number:
727-528-2010
Provider Enumeration Date:
07/28/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  OPC2753 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 620051601 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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