KELLY A. SHINE M.D. – NPI #1477522472
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

KELLY SHINE is a surgeon located in FREDERICK, MD. NPPES has assigned the NPI number 1477522472 to KELLY SHINE on March 14, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was previously updated about 13 years ago on Jul 01, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KELLY SHINE below.

NPI Profile for
KELLY A. SHINE

NPI Number
1477522472
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KELLY A. SHINE
Credentials
M.D.
Primary location
74 THOMAS JOHNSON DR
FREDERICK, MD 21702-4300
Phone: (301) 694-3200 Fax: (301) 662-5288
Mailing address
3 E THIRTEENTH ST
FREDERICK, MD 21701-4402
Phone: (240) 285-5856 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208600000X
- Surgery (Primary)
MD D0060209

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
YALE UNIVERSITY SCHOOL OF MEDICINE - Graduated 1995
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KELLY SHINE is affiliated with the following medical group(s):
  • HOSPITAL
    • CAPE COD HEALTHCARE
      88 LEWIS BAY ROAD
      HYANNIS, MA 02601
  • HOME HEALTH AGENCY
    • VNA OF CAPE COD
      255 INDEPENDENCE DRIVE
      HYANNIS, MA 02601

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