Qingguo Shang, O.M.D., LIC. AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

65.000133 Issued in OH

Practice address

1395 E Dublin Granville Rd
Suite 418
Columbus, OH 43229-3313

Phone

(614) 378-1293

NPI assigned

Jul 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1174722748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 MARK TWAIN CT",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430265729",
            "telephone_number": "614-378-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 E DUBLIN GRANVILLE RD",
            "address_2": "SUITE 418",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293313",
            "telephone_number": "614-378-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANG",
        "first_name": "QINGGUO",
        "name_prefix": "Dr.",
        "credential": "O.M.D., LIC. AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OH",
            "license": "65.000133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Parks Shane-Carson, MS, LGC
• Chelsea Shane
• Kayla Marie Shane, CNP
• Kelly Shane
• Joclyn Shaner
• Elizabeth Ann Shank, OD
• Divya Shankar
• Kirti R Shanker, MD
• Pradheep J Shanker, M.D.
• Cardelia Denise Shanks

• Acupuncturist in Columbus, OH
• Providers in Columbus, OH by specialty
• Acupuncturist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.