Basic Information
| Provider Information | |||||||||
| NPI: | 1275574287 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SHIRKEY | ||||||||
| FirstName: | BELINDA | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 120 N EAGLE CREEK DR | ||||||||
| Address2: | STE 500 | ||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405091827 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8592633900 | ||||||||
| FaxNumber: | 8592633757 | ||||||||
| Practice Location | |||||||||
| Address1: | 120 N EAGLE CREEK DR | ||||||||
| Address2: | STE 500 | ||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 40509 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8592633900 | ||||||||
| FaxNumber: | 8592633757 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/09/2006 | ||||||||
| LastUpdateDate: | 08/22/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | 46343 | AZ | N | Allopathic & Osteopathic Physicians | Ophthalmology | 207W00000X | 48034 | KY | N | Allopathic & Osteopathic Physicians | Ophthalmology | 207WX0107X | 48034 | KY | Y |
ID Information
| ID | Type | State | Issuer | Description | 0140256 | 05 | OH | MEDICAID | 38100229051 | 05 | WV | MEDICAID | 1275574287 | 01 | NY | NPI | OTHER | 300015782 | 05 | IN | MEDICAID | 7100339680 | 05 | KY | MEDICAID |