DR. JENNIFER MARY SHIFLEY M.D. NPI 1902867666

Family Medicine in Georgetown, TX

Individual Female Family Medicine

About JENNIFER SHIFLEY

Jennifer Shifley is a provider in Georgetown, TX. The NPI number assigned to this provider is 1902867666. The practitioner's primary taxonomy code is Family Medicine (207Q00000X). The provider is registered as an individual and their NPI record was last updated 12 years ago.

NPI

1902867666

Provider NameDR. JENNIFER MARY SHIFLEY M.D.
Provider Location Address4945 WILLIAMS DR GEORGETOWN, TX 78628
Provider Mailing AddressPO BOX 847408 DALLAS, TX 75284
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date03-31-2006
Last Update Date07-11-2007

Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.L7178
License StateTX
Taxonomy DescriptionFamily 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.

Business Address

DR. JENNIFER MARY SHIFLEY M.D.
4945 WILLIAMS DR
GEORGETOWN, TX
ZIP 78628
Phone: (512) 819-0500

Get Directions

Mailing Address

DR. JENNIFER MARY SHIFLEY M.D.
PO BOX 847408
DALLAS, TX
ZIP 75284
Phone: (254) 724-2111

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
8P1489OTHER (01)TX
H96256MEDICARE UPIN (02)TX
8D1267MEDICARE ID-TYPE UNSPECIFIED (04)TX
P00197889OTHER (01)TX

Other Providers at the same location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003876095DR. JENNIFER LYNN CLARK M.D.
Individual
Internal Medicine4945 WILLIAMS DR
GEORGETOWN, TX 78628
(512) 819-0500
1033171509DR. JENNIFER TSOU O.D.
Individual
Optometrist4945 WILLIAMS DR
GEORGETOWN, TX 78628
(512) 819-0500
1134189863DR. CHRISTOPHER HEARNE M.D.
Individual
Internal Medicine4945 WILLIAMS DR
GEORGETOWN, TX 78628
(512) 819-0500
1245315258 ROBERT E SCHOPPA RPH
Individual
Pharmacist4945 WILLIAMS DR
GEORGETOWN, TX 78628
(512) 942-3305
1396829644 MARION GONZALES RPH
Individual
Pharmacist4945 WILLIAMS DR
GEORGETOWN, TX 78628
(512) 942-3305
1427160480DR. PAULA GRIGAR RYCHLIK PHARM.D.
Individual
Pharmacist4945 WILLIAMS DR
GEORGETOWN, TX 78628
(512) 819-0522
1710948955DR. RICHARD S. LAWLIS M.D.
Individual
Internal Medicine4945 WILLIAMS DR
GEORGETOWN, TX 78628
(512) 819-0500

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Previous NPI
1902867658
Next NPI
1902867674