MICHAEL W SHADOWEN M.D. NPI 1144289448

NPI Information

  • NPI: 1144289448
  • Provider Name: MICHAEL W SHADOWEN, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 106 E WAYNE ST
    GLASGOW, KY
    ZIP 42141
  • Phone: (270) 651-9129

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NPI Details

Michael W Shadowen, M.D. is a diagnostic radiology radiology in Glasgow, KY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Michael W Shadowen, M.D. NPI is 1144289448. 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:

106 E WAYNE ST
GLASGOW, KY
ZIP 42141-636
Phone: (270) 651-9129
Fax: (270) 651-4916

The NPI 1144289448 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/23/2006 and was last updated on 9/15/2016.

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
12085R0202XRadiologyDiagnostic Radiology21473KENTUCKYYes

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
1000000057712OTHERKENTUCKYANTHEM
2C64970MEDICARE UPINKENTUCKY
364214737MEDICAIDKENTUCKY

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: 3/30/2025

NPI Synchronization or Removal

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