NEAL H SHONNARD, MD - NPI NUMBER 1932135795

Summary

Provider Name: NEAL H SHONNARD, MD

NPI Number: 1932135795

Clasification: Orthopaedic Surgery (207XS0117X)

Specialization: Orthopaedic Surgery of the Spine

Organization: PROLIANCE SURGEONS INC PS

Address:
3801 5TH ST SE
SUITE 110
PUYALLUP, WA
ZIP 98374

Phone Number: (253) 845-9585



Detailed Information

Neal H Shonnard, MD is a spine orthopaedic surgeon in Puyallup, WA with 30 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. The assigned NPI number for this provider is 1932135795 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduation Year: 1984

The provider's business address is:

3801 5TH ST SE
SUITE 110
PUYALLUP, WA
ZIP 98374-106
Phone: (253) 845-9585
Fax: (253) 435-4785

The enumeration date for this NPI number is 6/24/2006 and was last updated on 10/18/2011.

Map - Location of Practice

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Taxonomy Codes

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 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine MD00027457 WA Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 E67936 MEDICARE UPIN

NPI Record

No. Field Name Field Value
1 NPI 1932135795
2 Entity Type Code 1
3 Provider Last Name Legal Name SHONNARD
4 Provider First Name NEAL
5 Provider Middle Name H
6 Provider Credential Text MD
7 Provider First Line Business Practice Location Address 3801 5TH ST SE
8 Provider Second Line Business Practice Location Address SUITE 110
9 Provider Business Practice Location Address City Name PUYALLUP
10 Provider Business Practice Location Address State Name WA
11 Provider Business Practice Location Address Postal Code 983742106
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 2538459585
14 Provider Business Practice Location Address Fax Number 2534354785
15 Provider Enumeration Date 6/24/2006
16 Last Update Date 10/18/2011
17 Provider Gender Code M
18 Healthcare Provider Taxonomy Code 1 207XS0117X
19 Provider License Number 1 MD00027457
20 Provider License Number State Code 1 WA
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Other Provider Identifier 1 E67936
23 Other Provider Identifier Type Code 1 02
24 Is Sole Proprietor N

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This page was last updated on: 11/14/2014
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.