MEDICARE: DR. WILLIAM L SHIRRELL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	01034533A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00200150	OTHER	IN	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000000351011	OTHER	IN	ANTHEM PIN NUMBER
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	1487680518	OTHER	IN	GROUP NPI

General Provider Information

NPI Number	:	1356355093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM L SHIRRELL M.D.

Provider Business Mailing Address
First Line	:	679 E COUNTY LINE RD
Second Line	:
City	:	GREENWOOD
State	:	IN
Zip	:	46143-1049
Country	:	US
Telephone Number	:	317-807-1262
Fax Number	:	317-859-4268

Provider Business Practice Location Address
First Line	:	8240 NAAB RD
Second Line	:	SUITE #200
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46260-1986
Country	:	US
Telephone Number	:	317-876-2330
Fax Number	:	317-876-2320

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	03/17/2021

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Directions to “ DR. WILLIAM L SHIRRELL M.D.” Practice Location

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