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

Individual provider Surgery Physician · NPI 1174743884

Shellie Kathleen Faris, MD is a General Surgery in Maryville, Missouri. Graduated from University of Nebraska College of Medicine in 2002, 24 years ago. Practices with The Mary Lanning Memorial Hospital Association, a 125-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
24
Trained at
University of Nebraska College of Medicine
Licensed in
MO
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2016 S Main St
Maryville, MO 64468-2655
Phone: (660) 562-2525
Fax: (660) 562-4303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2007007765 (MO)

Record details

NPI number1174743884
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 26, 2007
Last updated in NPPESNovember 9, 2012
Mailing address114 E South Hills Dr, Maryville, MO 64468-2659

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice The Mary Lanning Memorial Hospital Association — 125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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