Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Derek Shirey, DO

Individual provider Anesthesiology Physician · NPI 1467913608

Dr. Derek Shirey, DO is an Anesthesiology in Charleston, South Carolina. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2019, 7 years ago. Practices with Tidelands Anesthesia Group LLC, a 51-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
7
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
SC
In the registry since
2019
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

167 Ashley Ave
Charleston, SC 29425-4772
Phone: (843) 792-1606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 87960 (SC)

Record details

NPI number1467913608
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 29, 2019
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2019 (7 years in practice)
Group practice Tidelands Anesthesia Group Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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