Jill Shank, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

D47458 Issued in MD

Practice address

251 E Antietam St
Hagerstown, MD 21740

Phone

(301) 790-8501

NPI assigned

Sep 15, 2005

Last updated

Oct 2, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Luigina Shank Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1114912151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1248",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217401248",
            "telephone_number": "800-938-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E ANTIETAM ST",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21740",
            "telephone_number": "301-790-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANK",
        "first_name": "JILL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-15",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D47458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUIGINA",
            "last_name": "SHANK",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nathaniel Erez Shalom, M.D.
• Samantha Nicole Barrett Shanholtz, LCSW-C
• Amber Nicole Shank, LMSW
• Jenica Lynette Shank
• Jessica Shank
• Shannon Lynn Therapy LLC
• Jocelyn Shannon, RN
• Patricia Ann Shannon, PA-C
• Marjorie R Sharkey, LCSWC
• Sarita Sharma, M.D.

• Anesthesiology Physician in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Anesthesiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.