M. SHANK M.D. PH.D. INC. NPI 1558489062

NPI Information

NPI: 1558489062
Provider Name: M. SHANK, M.D., PH.D., INC.
Classification: Internal Medicine - 207RE0101X
Specialization: Endocrinology, Diabetes & Metabolism
Entity Type: Organization
Doing Business As: DIABETES AND METABOLISM SPECIAL1ST CARE
Address: 715 W NORTH ST
LIMA, OH
ZIP 45801
Phone: (419) 227-1570

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NPI Details

M. SHANK, M.D., PH.D., INC. is an endocrinology and diabetes and metabolism internal medicine in Lima, OH. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. M. SHANK, M.D., PH.D., INC. NPI is 1558489062. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Diabetes And Metabolism Special1st Care.

The provider's business location address is:

715 W NORTH ST
LIMA, OH
ZIP 45801-922
Phone: (419) 227-1570
Fax: (419) 227-5005

The provider's authorized official is M. Shank .
The authorized official title is President and has the following contact phone number (419) 227-1570.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 8/22/2020.

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	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	35057234	OHIO	Yes

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	2058053	MEDICAID	OHIO

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

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