DR. SHANE PATRICK DUGGAN DPM NPI 1417687724

NPI Information

  • NPI: 1417687724
  • Provider Name: DR. SHANE PATRICK DUGGAN, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 515 READ ST
    EVANSVILLE, IN
    ZIP 47710
  • Phone: (812) 424-9291

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NPI Details

DR. Shane Patrick Duggan, DPM is a foot and ankle surgery podiatrist in Evansville, IN with 4 years of experience. DR. Shane Patrick Duggan, DPM NPI is 1417687724. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2022

The provider's business location address is:

515 READ ST
EVANSVILLE, IN
ZIP 47710-739
Phone: (812) 424-9291
Fax: (812) 421-2722

The NPI 1417687724 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/10/2022 and was last updated on 8/4/2025.

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
1213ES0103XPodiatristFoot & Ankle Surgery298099KENTUCKYNo
2213ES0103XPodiatristFoot & Ankle Surgery07001502AINDIANAYes

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: 11/21/2025

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