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EDWIN J SHAKUN M.D., NPI 1467454660

Internal Medicine in GREENWOOD, IN

Last Updated on : Mar 20,2021

About EDWIN J SHAKUN (NPI 1467454660)


EDWIN J SHAKUN is an Internal Medicine provider in GREENWOOD, United States. His medical specialization is Internal Medicine .

1467454660 is NPI number of EDWIN J SHAKUN.

EDWIN J SHAKUN's primary taxonomy code based on NPI Lookup is 207R00000X with license number 01047025A. This taxonomy code refers to Internal Medicine.

EDWIN J SHAKUN has more than 16 years of experience.

EDWIN J SHAKUN current practice location address is 1001 N MADISON AVE, GREENWOOD, IN. EDWIN J SHAKUN can be reached out via phone at 317-888-3508 .

You can also correspond with EDWIN J SHAKUN through mail at mailing address PO BOX 771846, DETROIT, MI, United States. Mailing address contact number is 317-528-4800.

The enumeration date of EDWIN J SHAKUN is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 1 years ago.

1467454660 NPI Information

Name EDWIN J SHAKUN
National Provider Id (NPI) 1467454660
Entity Type Individual
Gender M
Credential M.D.
Practice Address 1001 N MADISON AVE,
GREENWOOD, IN, United States
Practice Telephone 317-888-3508
Practice Fax Number
Mailing Address PO BOX 771846 ,
DETROIT, MI, United States
Mailing Telephone 317-528-4800
Mailing Fax Number
Enumeration Date 01-Jun-2005
Last Updated Date 20-Mar-2021

EDWIN J SHAKUN (NPI 1467454660) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 207R00000X Internal Medicine 01047025A IN

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
01047025A Other (non-Medicare) (01) IN Indiana License
01047025B Other (non-Medicare) (01) IN CSR
BS3726239 Other (non-Medicare) (01) DEA
G07113 MEDICARE UPIN (02) IN
M400032426 MEDICARE PIN (08) IN

EDWIN J SHAKUN (NPI 1467454660) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1003963075 BRENT WADE DUNAVIN Dentist, General Practice PO BOX 488,
GREENWOOD, AR, United States
04-Jan-2007
1417313925 BOHANNAN IRGENS GROUP LLC Clinic/Center, Physical Therapy 515 FORREST PARK WAY,
GREENWOOD, AR, United States
13-Jan-2016
1154692481 MCL THERAPY LLC Clinic/Center, Physical Therapy 250 OLD HACKETT RD,
GREENWOOD, AR, United States
18-Jan-2012
1194096339 EVAN LEE ROWE Chiropractor 3512 EVANS RD,
GREENWOOD, AR, United States
19-Jan-2012
1376874859 MARILYN KAY RANKIN Registered Nurse 3802 STURGEON RD,
GREENWOOD, AR, United States
22-Jan-2010
1285812255 LISA JAN BOHNE CLAY Psychologist 2711 SHADOW LAKE DR,
GREENWOOD, AR, United States
01-Feb-2008
1730235268 ANGELA MARASCALCO SKIDMORE Dentist, General Practice PO BOX 1415,
GREENWOOD, AR, United States
26-Jan-2007
1245778679 HALEY HELMERT Speech-Language Pathologist, 3609 PHOENIX AVE,
FORT SMITH, AR, United States
06-Feb-2017
1588256895 FORTHRIGHT BEHAVIORAL HEALTH INC Clinic/Center, Mental Health (Including Community Mental Health Center) 16135 HIGHWAY 71 S,
GREENWOOD, AR, United States
08-Feb-2021
1619018793 ROBERT GARY MACK Contractor 2712 EDGEWATER DRIVE,
GREENWOOD, AR, United States
09-Feb-2007
1700342011 HEALTH DEPOT PHARMACIES, LLC Pharmacy, Long Term Care Pharmacy 1530 W CENTER ST,
GREENWOOD, AR, United States
12-Feb-2019
1407356678 HEALTH-WISE PHARMACY PLLC Pharmacy, Community/Retail Pharmacy PO BOX 347,
MANSFIELD, AR, United States
14-Feb-2018
1881287266 BLAZE JUSTIN CALDERON Pharmacist 8036 MASSARD RD,
FORT SMITH, AR, United States
16-Feb-2021
1205961117 STEWART DRUGS Pharmacy 202 S COKER ST,
GREENWOOD, AR, United States
22-Feb-2007
1215902358 THOMAS CHARLES BONIN Family Medicine 459 WHITETAIL LN,
GREENWOOD, AR, United States
22-Feb-2006
1144854886 WESTERN ARKANSAS COUNSELING AND GUIDANCE CENTER,INC.-RCF GREENWOOD Community/Behavioral Health PO BOX 11818,
FORT SMITH, AR, United States
02-Mar-2020
1619006871 SHAREE DAVIDSON Speech-Language Pathologist, PO BOX 1028,
GREENWOOD, AR, United States
05-Mar-2007
1811168768 SPARKS REGIONAL MEDICAL CENTER Durable Medical Equipment & Medical Supplies PO BOX 1824,
FORT SMITH, AR, United States
19-Mar-2008
1720104870 PATRICK BRIAN MCCLAIN Physical Therapist 515 FORREST PARK WAY,
GREENWOOD, AR, United States
21-Mar-2007
1366784779 RICHARD EARL PARKS Pharmacist 705 W CENTER ST, PHARMACY
GREENWOOD, AR, United States
24-Mar-2013

FAQs

Whose NPI Number is 1467454660?

1467454660 is the NPI number of EDWIN J SHAKUN.

What is the specialty for EDWIN J SHAKUN?

The Specialty of EDWIN J SHAKUN is Internal Medicine.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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