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KAY MARIE SHAWCHUCK M.D. NPI 1669474805


NPI Information

NPI: 1669474805
Provider Name: KAY MARIE SHAWCHUCK, M.D.
Classification: Surgery - 208600000X
Entity Type: Individual
Organization: GREATER TAMPA BAY PHYSICIAN SPECIALISTS LLC

PECOS Registration: Yes

Address:
6450 38TH AVE N STE 440
ST PETERSBURG, FL
ZIP 33710
Phone: (727) 551-2033
Get Directions

Kay Marie Shawchuck, M.D. is a surgery in St Petersburg, FL with 36 years of experience. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Kay Marie Shawchuck, M.D. NPI is 1669474805. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1988

The provider's business location address is:

6450 38TH AVE N STE 440
ST PETERSBURG, FL
ZIP 33710-653
Phone: (727) 551-2033
Fax: (278) 641-4477

The NPI 1669474805 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 6/1/2005 and was last updated on 2/11/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery40854MINNESOTANo
2208600000XSurgeryME119762FLORIDAYes
3208600000XSurgery6639NORTH DAKOTANo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103T04ABOTHERMINNESOTABLUE SHIELD
2ABD19054OTHERNORTH DAKOTABLUE SHIELD
3013635800MEDICAIDFLORIDA
417670MEDICAIDNORTH DAKOTA
567431880MEDICAIDMINNESOTA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.