Dr. Mark A Shelly
Internist Infectious Disease
100 N Academy Ave
Danville
, Pennsylvania 17822
Dr. Mark A Shelly
Internist Infectious Disease
100 N Academy Ave
Danville
, Pennsylvania 17822
(570) 271-6144
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About
Features
Specialties
- Internist
- Infectious Disease
Languages spoken
- English
Location
First Address
- Dr. Mark A Shelly
- 100 N Academy Ave
- Danville, PA
- Zip : 17822-4903
- Phone : (570) 271-6144
Second Address
- Dr. Mark A Shelly
- 100 N Academy Ave
- Danville, PA
- Zip : 17822
- Fax : (570) 271-5845
- Phone : (570) 271-6408
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 172506 | NY |
| N | 111NI0900X | Internist | 172506 | NY |
| N | 207RI0200X | Infectious Disease | 172506 | NY |
| Y | 207RI0200X | Infectious Disease | MD463888 | PA |
National Provider Identifier
| NPI | 1023027927 |
|---|---|
| Provider Name | Dr. Mark A Shelly |
| First Address | Danville, PA 17822-4903 |
| Second Address | Danville, PA 17822 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/08/2006 |
| Last Update Date | 31/08/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01143939 | (05) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.