MICHAEL F. SHEKLETON NPI 1912097205

NPI Information

NPI: 1912097205
Provider Name: MICHAEL F. SHEKLETON
Classification: Internal Medicine - 207RG0100X
Entity Type: Individual

Specialization: Gastroenterology

Address:
2805 N KNOXVILLE AVE
PEORIA, IL
ZIP 61604
Phone: (309) 624-9400
Get Directions

Michael F. Shekleton is a gastroenterology internal medicine in Peoria, IL. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Michael F. Shekleton NPI is 1912097205. 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:

2805 N KNOXVILLE AVE
PEORIA, IL
ZIP 61604-869
Phone: (309) 624-9400
Fax: (309) 624-2280

The enumeration date for this NPI number is 10/15/2006 and was last updated on 1/10/2012.

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	207R00000X	Internal Medicine		036-062205	ILLINOIS	No
2	207RG0100X	Internal Medicine	Gastroenterology	036-062205	ILLINOIS	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 State	Other Provider Identifier Issuer
1	C44053	MEDICARE UPIN	ILLINOIS
2	P00250105	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	RR INDIVIDUAL #
3	036062205	MEDICAID	ILLINOIS
4	809840	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	GROUP #
5	CA 4079	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	RR GROUP #
6	K21762	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	INDIVIDUAL #

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »