DEWEY R. SHELLEY M.D.
NPI 1114013349
Clinic/Center - Medical Specialty in Paragould, AR
- Organization
- Clinic/Center
- Medical Specialty
About DEWEY R. SHELLEY M.D.
This page provides the complete NPI Profile along with additional information for Dewey R. Shelley M.d., a provider established in Paragould, Arkansas operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1114013349 assigned on October 2006. The practitioner's primary taxonomy code is 261QM2500X with license number E-4246 (AR). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's other name is Dewey R. Shelley M.d.. The authorized official of this NPI record is Dr. Dewey R Shelley M.d. (Owner)
- NPI
- 1114013349 Verify this NPI
- Provider Legal Name
- PARAGOULD UROLOGY
- Other Organization Name
- DEWEY R. SHELLEY M.D.
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1000 W KINGSHIGHWAY STE 8 PARAGOULD, AR 72450
- Location Phone
- (870) 236-3308
- Location Fax
- (870) 236-8530
- Mailing Address
- 1000 W KINGSHIGHWAY STE 8 PARAGOULD, AR 72450
- Mailing Phone
- (870) 236-3308
- Mailing Fax
- (870) 236-8530
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-05-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- License No.
- E-4246
- License State
- AR
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114013349, enumerated as an "organization" on October 05, 2006.
The provider is located at 1000 W KINGSHIGHWAY STE 8 PARAGOULD, AR 72450 and the phone number is (870) 236-3308.
Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.
