THOMAS SHINE M.D. NPI 1861417255

NPI Information

  • NPI: 1861417255
  • Provider Name: THOMAS SHINE, M.D.
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • Address: 1225 GRAHAM RD
    FLORISSANT, MO
    ZIP 63031
  • Phone: (314) 953-6000

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NPI Details

Thomas Shine, M.D. is an emergency medicine in Florissant, MO. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Thomas Shine, M.D. NPI is 1861417255. 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:

1225 GRAHAM RD
FLORISSANT, MO
ZIP 63031-014
Phone: (314) 953-6000

The enumeration date for this NPI number is 7/13/2006 and was last updated on 3/2/2009.

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
1207P00000XEmergency Medicine036-105380ILLINOISNo
2207P00000XEmergency MedicineR7482MISSOURIYes

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$$$$$$$$$-1MEDICAIDILLINOIS
2936284748MEDICARE PINMISSOURI
3A11122MEDICARE UPIN
4$$$$$$$$$-2MEDICAIDILLINOIS
5201809118MEDICAIDMISSOURI
6936284740MEDICARE PINMISSOURI

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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