Active NPI
William Shanahan
- Specialist
- Pensacola, FL
National Provider Identifier
1093052656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0032249
- Legal business name
- WILLIAM SHANAHAN
- Practice address
- 4531 N Davis Hwy
Pensacola, FL 32503-2770 - Phone
- (850) 484-8448
- Fax
- (850) 479-3258
- NPI assigned
- Jan 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William James Shanahan, MD
- Title
- Physician
- Phone
- (850) 484-8448
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0032249 | FL | Primary |
Addresses
Primary practice location
4531 N Davis Hwy
Pensacola, FL 32503-2770
Mailing address
4531 N Davis Hwy
Pensacola, FL 32503-2770
Phone (850) 484-8448
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061290100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Pensacola, FL
- NPI 1649262510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358208000000",
"number": "1093052656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4531 N DAVIS HWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032770",
"telephone_number": "850-484-8448",
"fax_number": "850-479-3258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4531 N DAVIS HWY",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032770",
"telephone_number": "850-484-8448",
"fax_number": "850-479-3258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM SHANAHAN",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-15",
"last_updated": "2013-01-15",
"status": "A",
"authorized_official_last_name": "SHANAHAN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "850-484-8448",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME0032249",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "061290100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.