Shellie Kathleen Faris, MD
Shellie Kathleen Faris is a Surgery Physician provider (Surgery) practicing in Maryville, MO, registered in the NPPES registry with NPI 1174743884 since 2007. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174743884 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Shellie Kathleen Faris |
| Credential | MD |
| Sex | Female |
| Practice address | 2016 S MAIN ST, Maryville, MO, 64468 |
| Phone | 6605622525 |
| Fax | 6605624303 |
| Enumeration date | 2007-04-26 |
| Last updated in NPPES | 2012-11-09 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Primary | 2007007765 | MO |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912965328 | Medicaid | IA | — |
| 206341000 | Medicaid | MO | — |
Copy-ready billing details
Provider: Shellie Faris, MD NPI: 1174743884 Taxonomy: 208600000X (Surgery Physician) Address: 2016 S MAIN ST, Maryville, MO, 64468
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1619970761 | Lorraine Dodson | Individual | Obstetrics & Gynecology Physician | Maryville, MO |
| 1043212228 | Sally Bomar | Individual | Family Medicine Physician | Maryville, MO |
| 1518969567 | Jane Dawson | Individual | Obstetrics & Gynecology Physician | Maryville, MO |
| 1053313015 | James Bradley | Individual | Surgery Physician | Maryville, MO |
| 1316941180 | Patrick Dawson | Individual | Family Medicine Physician | Maryville, MO |
| 1669476354 | John Feuerbacher | Individual | Family Medicine Physician | Maryville, MO |
| 1588668297 | Kanti Havaldar | Individual | Internal Medicine Physician | Maryville, MO |
| 1225032923 | Brian Golightly | Individual | Family Medicine Physician | Maryville, MO |
Verify this record
Cross-check NPI 1174743884 against the authoritative CMS record: view Shellie Kathleen Faris on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What specialty is Shellie Faris?
Is this the official NPI registry?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-11-09.