MARK S SHOCKEY MD NPI 1902839657

NPI Information

NPI: 1902839657
Provider Name: MARK S SHOCKEY, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

Address:
1220 E 3900 S STE 2C
SALT LAKE CITY, UT
ZIP 84124
Phone: (801) 263-2482
Get Directions

Mark S Shockey, MD is a pulmonary disease internal medicine in Salt Lake City, UT. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Mark S Shockey, MD NPI is 1902839657. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1220 E 3900 S STE 2C
SALT LAKE CITY, UT
ZIP 84124-319
Phone: (801) 263-2482
Fax: (801) 263-2424

The enumeration date for this NPI number is 7/8/2006 and was last updated on 10/17/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0200X	Internal Medicine	Critical Care Medicine	163879-1205	UTAH	No
2	207RP1001X	Internal Medicine	Pulmonary Disease	163879-1205	UTAH	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	107004966101	OTHER	SELECT CARE
2	36670	OTHER	DMBA
3	870450466SH1	OTHER	EMIA
4	1408	OTHER	UNIV OF UTAH
5	PR07070	OTHER	MOLINA
6	D20188	MEDICARE UPIN
7	QM0000018088	OTHER	ALTIUS
8	68893	OTHER	PEHP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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