PHILIP LEE SHETTLE


Address: 13113 66th St, Largo, FL 33773-1812
Phone: 7276742500

PHILIP LEE SHETTLE (NPI# 1023016243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023016243
Entity Type Individual
Full Name PHILIP LEE SHETTLE
Credential D.O.
Practice Address 13113 66th St
Largo
FL 33773-1812
Practice Telephone 7276742500
Practice Fax Number 7276742550
Mailing Telephone 7276792500
Mailing Fax Number 7276792550
Enumeration Date 2005-07-12
Last Update Date 2011-09-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207W00000X Ophthalmology 32591 CO Allopathic & Osteopathic Physicians
N 207W00000X Ophthalmology 5101010879 MI Allopathic & Osteopathic Physicians
Y 207W00000X Ophthalmology OS 6621 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL 378381200 05
FL RAILROAD MEDICARE 180045006 01
FL BCBS OF FLORIDA 80884 01

Other Providers PHILIP SHETTLE

NPI Name Taxonomy Address Enumeration
1427056548 Philip Leroy Shettle Ophthalmology 670 Clearwater Largo Rd N, Suite A, Largo, FL 33770-2377 2005-07-12

Office Location

Street Address 13113 66TH ST
City LARGO
State FL
Zip Code 33773-1812

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275144719 Rosabelle Magloire Chism Nurse Practitioner 11542 92nd Street North, Largo, FL 33773 2020-08-10
1265040976 Gulf Coast Mental Health Services LLC Clinic/Center 10641 Whittngton Court, Largo, FL 33773 2020-07-20
1770930190 Albert H Thurlow IIi Nurse Practitioner 10471 Whittington Ct, Largo, FL 33773 2016-05-16
1700264660 Logan Kienholz Behavioral Analyst 12505 Sarky Rd, Suite G, Largo, FL 33773 2015-05-12
1093121998 Dorit Morecraft Nurse Practitioner 10641 Whittington Court, Largo, FL 33773 2014-07-11
1891135281 Shameka Jones Pharmacist 12091 Starkey Rd, Largo, FL 33773 2013-06-28
1427496942 Kim Hoang T Vo Podiatrist 12685 Starkey Road, Largo, FL 33773 2013-06-06
1104165729 Aaron Rigali Pharmacist 11701 S Belcher Rd Ste 126, Largo, FL 33773 2013-02-01
1518249648 Jolynn Renee Dyer Occupational Therapist 8254 118th Ave Unit 100, Unit 100, Largo, FL 33773 2011-09-14
1366720161 Sally Donna Plink Massage Therapist 10671 104th Ave N, Seminole, FL 33773 2011-07-27
Find all providers in zip 33773

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780981779 Lee Shettle Do Pa Ophthalmology 13113 66th St N, Largo, FL 33773-1812 2011-02-28
1649356775 Philip L. Shettle D.o., P.a. Ophthalmology 670 N. Clearwater - Largo Road, Largo, FL 33770-2377 2006-10-31
1285644914 Frank Seidl Ophthalmology 2770 E Bay Dr, Largo, FL 33771-2469 2006-08-08
1851353239 John L. Michaelos Ophthalmology 1030 W Bay Dr, Largo, FL 33770-3225 2006-04-03
1427056548 Philip Leroy Shettle Ophthalmology 670 Clearwater Largo Rd N, Suite A, Largo, FL 33770-2377 2005-07-12
1033112156 Stacia H Goldey Ophthalmology 148 13th St Sw, Largo, FL 33770-3127 2005-05-23
1679936991 Kirkland Castellano Ophthalmology 148 13th St Sw, Largo, FL 33770-3127 2016-04-04
1225411622 Maria L. Adams Ophthalmology 148 13th St Sw, Largo, FL 33770-3127 2015-07-02
1528440856 Brandon Connor Clair Ophthalmology 148 13th St Sw, Largo, FL 33770-3127 2015-06-23
1043646672 Bradley Philip Oneill Ophthalmology 148 13th St Sw, Largo, FL 33770-3127 2013-09-14
Find all providers in LARGO

Competitor

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City LARGO
Zip Code 33773

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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