KEITH SHONNARD M.D. NPI 1508898974

NPI Information

NPI: 1508898974
Provider Name: KEITH SHONNARD, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
2874 N CARSON ST STE 300
CARSON CITY, NV
ZIP 89706
Phone: (775) 888-1180
Get Directions

Keith Shonnard, M.D. is a diagnostic radiology radiology in Carson City, NV. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Keith Shonnard, M.D. NPI is 1508898974. 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:

2874 N CARSON ST STE 300
CARSON CITY, NV
ZIP 89706-683
Phone: (775) 888-1180
Fax: (775) 852-6902

The NPI 1508898974 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), Power Mobility Devices.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 12/18/2017.

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	2085R0202X	Radiology	Diagnostic Radiology	7398	NEVADA	Yes
2	2085R0202X	Radiology	Diagnostic Radiology	G87403	CALIFORNIA	No

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	CK658Y	OTHER	CALIFORNIA	MEDICARE PTAN
2	002013091	MEDICAID	NEVADA
3	FS4913489	OTHER	CALIFORNIA	MEDI-CAL
4	300064321	OTHER	NEVADA	RAILROAD MEDICARE

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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