James M Shenko MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

80130 Issued in MA

Legal business name

JAMES M SHENKO MD PC

Practice address

299 Lincoln St
Worcester, MA 01605-3646

Phone

(508) 852-2001

NPI assigned

May 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James M ShenkoNPI 1841240751

Title

Owner

Phone

(508) 852-2001

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James M Shenko, MD

  • Specialist
  • Sterling, MA
  • NPI 1841240751
  Medicare reassignment Authorized official
• Bradley K Schaffer, MD

  • Specialist
  • Worcester, MA
  • NPI 1508817834
  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1013964352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053646",
            "telephone_number": "508-852-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 LINCOLN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053646",
            "telephone_number": "508-852-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M SHENKO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "SHENKO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-852-2001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "80130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9742051",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nethra Jain, MBBS
• Samruddhi Vijay Jain, MBBS
• Vaibhav Jain, MD
• Shannon Jalbert
• Isha R. Jalnapurkar, M.D.
• James M Shenko, MD PC
• James P Hughes MD PC
• James P. Bresnahan, P.C.
• James R Gordon
• James V Gagne DMD PC

• Specialist in Worcester, MA
• Providers in Worcester, MA by specialty
• Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.