DR. IAN M SHENK MD NPI 1497820336

NPI Information

NPI: 1497820336
Provider Name: DR. IAN M SHENK, MD
Classification: Registered Nurse - 163WG0100X
Entity Type: Individual

Specialization: Gastroenterology

Address:
6501 LOISDALE COURT
SPRINGFIELD, VA
ZIP 22150
Phone: (703) 922-1407
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DR. Ian M Shenk, MD is a gastroenterology registered nurse in Springfield, VA. DR. Ian M Shenk, MD NPI is 1497820336. 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:

6501 LOISDALE COURT
SPRINGFIELD, VA
ZIP 22150-885
Phone: (703) 922-1407
Fax: (703) 922-1111

The enumeration date for this NPI number is 11/22/2006 and was last updated on 7/8/2007.

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	163WG0100X	Registered Nurse	Gastroenterology	0101021688	VIRGINIA	Yes
2	207R00000X	Internal Medicine		D009315	MARYLAND	X

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	B93465	MEDICARE UPIN
2	015885K92	MEDICARE ID-TYPE UNSPECIFIED

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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