JAMES MASON SHELLEY M.D. NPI 1043389760

NPI Information

NPI: 1043389760
Provider Name: JAMES MASON SHELLEY, M.D.
Classification: Pathology - 207ZP0102X
Entity Type: Individual

Specialization: Anatomic Pathology & Clinical Pathology

Address:
1000 E PRIMROSE ST STE 550
SPRINGFIELD, MO
ZIP 65807
Phone: (417) 269-4647
Get Directions

James Mason Shelley, M.D. is an anatomic pathology and clinical pathology pathology in Springfield, MO. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. James Mason Shelley, M.D. NPI is 1043389760. 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:

1000 E PRIMROSE ST STE 550
SPRINGFIELD, MO
ZIP 65807-180
Phone: (417) 269-4647
Fax: (417) 269-8078

The enumeration date for this NPI number is 11/7/2006 and was last updated on 7/19/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207ZP0102X	Pathology	Anatomic Pathology & Clinical Pathology	107697	MISSOURI	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	F08323	MEDICARE UPIN	MISSOURI
2	159012	OTHER	MISSOURI	BLUECROSS BLUESHIELD
3	705866705	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI	MISSOURI MEDICAID
4	220032537	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI	RAILROAD MEDICARE
5	421539307	OTHER	MISSOURI	FED TAX ID
6	007013687	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI	MEDICARE-LAB

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: 5/5/2024

NPI Synchronization or Removal

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