Dr Michael A Shirley, MD - Emergency Medicine in Fort Wayne, IN

Dr Michael A Shirley, MD is a Emergency Medicine physician based in Fort Wayne, Indiana. Dr Michael A Shirley is licensed to practice in Indiana (license number 01027570A) and his current practice location is 2200 Randallia Dr, Fort Wayne, Indiana. He can be reached at his office (for appointments etc.) via phone at (260) 373-4000.

NPI number for Dr Michael A Shirley is 1700871811 and his current mailing address is 3640 New Vision Drive, Suite A, Fort Wayne, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700871811.

Contact Information

Dr Michael A Shirley, MD
2200 Randallia Dr,
Fort Wayne, IN 46805-4638
(260) 373-4000
(260) 482-4442

Map and Direction




Physician's Profile

Full NameDr Michael A Shirley
GenderMale
SpecialityEmergency Medicine
Location2200 Randallia Dr, Fort Wayne, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1700871811
  • Provider Enumeration Date: 09/14/2005
  • Last Update Date: 05/15/2013

Medical Identifiers

Medical identifiers for Dr Michael A Shirley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700871811NPI-NPPES
000000030957OtherMPLAN
2523380MedicaidOH
104874679MedicaidMI
000000347091OtherINANTHEM
100187380MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 01027570A (Indiana)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michael A Shirley is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Michael A Shirley, MD
3640 New Vision Drive, Suite A,
Fort Wayne, IN 46845-1717

Ph: (260) 482-4440
Dr Michael A Shirley, MD
2200 Randallia Dr,
Fort Wayne, IN 46805-4638

Ph: (260) 373-4000

Reviews and Comments


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