Active NPIIndividual provider

John H Shackelford Jr., DO

Internal Medicine in Harwich, Massachusetts

NPI Number1598724072
Practice location
1421 Orleans RD, Harwich, MA 02645-2148
Fax
508-771-9555
Last updated
June 17, 2019

John H Shackelford is an Internal Medicine based in Harwich, MA. John H Shackelford practices in Harwich, MA and has the professional credentials of DO. The NPI Number for John H Shackelford is 1598724072 and holds a License No. 220500 (MA). The current practice location address for John H Shackelford is 1421 Orleans RD, Harwich, MA 02645-2148 and can be reached out via phone at 508-778-4777 and via fax at 508-771-9555.

Provider Profile Details

NPI Number
1598724072
Provider Name
John H Shackelford
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1421 Orleans RD, Harwich, MA 02645-2148
Phone Number
508-778-4777
Fax Number
508-771-9555
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
March 22, 2006
Last Update Date
June 17, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1421 Orleans RD
Harwich, MA 02645-2148
Zip
02645-2148
Phone Number
508-778-4777
Fax Number
508-771-9555
Harwich, MA 02645Get directions →

Provider Business Mailing Address Details

Address
297 North St
Hyannis, MA 02601-5108
City
Hyannis
State
MA
Zip
02601-5108
Phone Number
508-862-7777

License Information

License Number
220500
License State
MA
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of John H Shackelford Jr., DO?

The NPI number of John H Shackelford Jr., DO is 1598724072. It was assigned on March 22, 2006 and is currently active in the NPPES registry.

What is the specialty of John H Shackelford Jr., DO?

John H Shackelford Jr., DO is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 220500.

Where does John H Shackelford Jr., DO practice?

The practice location is 1421 Orleans RD, Harwich, MA 02645-2148. The office can be reached at 508-778-4777 (phone) or 508-771-9555 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598724072 directly on the NPPES registry website.

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