DR. MICHAEL A SHIRLEY MD
NPI 1700871811
Emergency Medicine in Fort Wayne, IN

Active since September 14, 2005
2200 RANDALLIA DR, FORT WAYNE, IN 46805(260) 373-4000(260) 482-4442 Get Directions Write a Review

NPPES record last updated: May 15, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael A Shirley Md NPPES

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

DR. MICHAEL A SHIRLEY MD (NPI 1700871811) is an individual emergency medicine provider in Fort Wayne, Indiana, licensed in Indiana (01027570A) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1700871811
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MICHAEL A SHIRLEYCredential: MD
Location Address2200 RANDALLIA DRFort Wayne, IN 46805-4638
Mailing Address3640 New Vision Drive, Suite AFort Wayne, IN 46845-1717 · (260) 482-4440 · Fax (260) 482-4442
Fax(260) 482-4442
Sole ProprietorNo
Enumeration DateSeptember 14, 2005
Last NPPES UpdateMay 15, 2013
NPI 1700871811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in IN · 01027570A
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2200 RANDALLIA DR, Fort Wayne, IN 46805

Other Identifiers 8

Medicare UPINE05507IN
Medicaid2523380OH
Medicaid104874679MI
Other000000347091IN · Anthem
Medicare ID-Type UnspecifiedP00196618Rr Medicare
Other000000030957Mplan
Medicare ID-Type Unspecified047840IIIIIN · Medicare
Medicaid100187380IN

Other Providers at the Same Location NPPES 20

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

Internal Medicine
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Emergency Medicine
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Physician Assistant (Medical)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Physician Assistant (Medical)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Pediatrics (Neonatal-Perinatal Medicine)
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Registered Nurse
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Student in an Organized Health Care Education/Training Program
2200 RANDALLIA DR
FORT WAYNE, IN 46805
Nurse Practitioner
2200 RANDALLIA DR
FORT WAYNE, IN 46805

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 Michael Shirley's NPI number?

The NPI number for Michael Shirley is 1700871811. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is Michael Shirley located?

Michael Shirley practices at 2200 Randallia Dr, Fort Wayne, IN 46805. The listed phone number is (260) 373-4000.

What is Michael Shirley's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Michael Shirley was last updated on May 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.