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WILLIAM H SHACKELFORD MD
NPI 1164418067
Family Medicine in Arthur, IL

Active since September 26, 2005
525 N VINE ST, ARTHUR, IL 61911(217) 543-3628(217) 543-2921 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About William H Shackelford Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIAM H SHACKELFORD MD (NPI 1164418067) is a healthcare organization registered as a family medicine in Arthur, Illinois and active in the NPI registry since September 2005. The organization lists William H Shackelford, Owner, as its authorized official.

NPPES Registry Identity

NPI1164418067
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWILLIAM H SHACKELFORD MD
Location Address525 N VINE STArthur, IL 61911-1137
Mailing Address525 N Vine StArthur, IL 61911-1137 · (217) 543-3628 · Fax (217) 543-2921
Phone(217) 543-3628
Fax(217) 543-2921
Organization SubpartNo
Authorized OfficialWilliam H ShackelfordOwner · (217) 543-3628
Enumeration DateSeptember 26, 2005
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1164418067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
525 N VINE ST, Arthur, IL 61911
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Other Identifiers 2

Medicaid036034153-1IL
Other0007415015IL · Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY FARIS PA-C
Physician Assistant
525 N VINE ST
ARTHUR, IL 61911
Douglas County (217) 543-2446

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William H Shackelford MD's NPI number?

The NPI number for William H Shackelford MD is 1164418067. It was assigned to this organization in the NPPES registry on September 26, 2005.

Where is William H Shackelford MD located?

William H Shackelford MD is located at 525 N Vine St, Arthur, IL 61911. The listed phone number is (217) 543-3628.

What is William H Shackelford MD's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for William H Shackelford MD was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.