MEDICARE: STEVEN R. SHIRTS, MD PC

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	261QM2500X	Medical Specialty Clinic/Center	MD22378	OR

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

General Provider Information

NPI Number	:	1538371661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN R. SHIRTS, MD PC

Provider Business Mailing Address
First Line	:	1741 AUSTIN ST
Second Line	:
City	:	KLAMATH FALLS
State	:	OR
Zip	:	97603-4621
Country	:	US
Telephone Number	:	541-273-3000
Fax Number	:	541-273-3014

Provider Business Practice Location Address
First Line	:	1741 AUSTIN ST
Second Line	:
City	:	KLAMATH FALLS
State	:	OR
Zip	:	97603-4621
Country	:	US
Telephone Number	:	541-273-3000
Fax Number	:	541-273-3014

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. STEVEN R SHIRTS
Credential	:	MD
Telephone Number	:	541-273-3000

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	08/22/2020

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