Individual provider Active NPI

Daniel Shank, DO

  • Internal Medicine Physician
  • Williamstown, WV
National Provider Identifier
1013403930
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3729 Issued in WV
Practice address
108 Osprey Dr Ste a
Williamstown, WV 26187-8556
Phone
(304) 865-5101
NPI assigned
Jul 3, 2018
Last updated
Sep 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 3729 WV Primary

Addresses

Primary practice location

108 Osprey Dr Ste a
Williamstown, WV 26187-8556

Mailing address

108 Osprey Dr Ste a
Williamstown, WV 26187-8556
Phone (304) 865-5101

Other practice location 1

800 Garfield Ave Rm G102
Parkersburg, WV 26101-5340
Phone (304) 424-4575

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dshank109925@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210820000113 WV Practitioner - Internal Medicine 5698024875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Camden-Clark Physician CorporationGroup PAC ID 5294885661, 345 clinicians

Practice addresses (Care Compare)

108 Osprey Dr
Suite a
Williamstown, WV 26187-8556
Phone (304) 865-5100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3729WVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camden-Clark Physician Corporation CurrentSince Aug 1, 2021 Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients

Locations

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

800 Garfield Ave
Rm G102
Parkersburg, WV 26101
Phone (304) 424-4575

108 Osprey Dr
Ste A
Williamstown, WV 26187
Phone (304) 865-5100

Interoperability endpoints

  • Direct secure messaging: dshank109925@direct.wvuhsdirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1013403930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 OSPREY DR STE A",
            "city": "WILLIAMSTOWN",
            "state": "WV",
            "postal_code": "261878556",
            "telephone_number": "304-865-5101",
            "fax_number": "304-424-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 OSPREY DR STE A",
            "city": "WILLIAMSTOWN",
            "state": "WV",
            "postal_code": "261878556",
            "telephone_number": "304-865-5101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Garfield Ave Rm G102",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261015340",
            "country_code": "US",
            "telephone_number": "304-424-4575",
            "fax_number": "304-424-4577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHANK",
        "first_name": "DANIEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-03",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "3729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dshank109925@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "108 Osprey Dr Ste A",
            "city": "Williamstown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261878556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Williamstown, WV

Sources for this page

Verify at the official NPI Registry.