JEAN SHIMANEK MD NPI 1891734547

NPI Information

  • NPI: 1891734547
  • Provider Name: JEAN SHIMANEK, MD
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 101 HOSPITAL LP NE
    STE 214
    ALBUQ, NM
    ZIP 87109
  • Phone: (505) 883-6600

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NPI Details

Jean Shimanek, MD is a plastic and reconstructive surgery surgery in Albuq, NM. The provider is a surgeon who specializes in plastic and reconstructive surgery. Jean Shimanek, MD NPI is 1891734547. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

101 HOSPITAL LP NE
STE 214
ALBUQ, NM
ZIP 87109-128
Phone: (505) 883-6600
Fax: (505) 883-0023

The NPI 1891734547 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/6/2006 and was last updated on 5/20/2008.

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
12086S0122XSurgeryPlastic and Reconstructive Surgery91307NEW MEXICOYes

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
12086S0122XMEDICAIDNEW MEXICO
2A16106MEDICARE UPIN
3E2086MEDICAIDNEW MEXICO
4$$$$$$$$$MMEDICARE PINNEW MEXICO
5741440546305OTHERNEW MEXICOTRIWEST

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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