Organization Active NPI

James M Shenko, MD PC

  • Surgery of the Hand (Plastic Surgery) Physician
  • Worcester, MA
National Provider Identifier
1184179145
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
80130 Issued in MA
Legal business name
JAMES M SHENKO, MD PC
Practice address
299 Lincoln St
Suite 201
Worcester, MA 01605-3646
Phone
(508) 852-2001
Fax
(508) 852-3001
NPI assigned
Aug 19, 2016
Last updated
Aug 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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

Authorized official

Name
Patricia Cassell
Title
Office Manager
Phone
(508) 852-2001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 80130 MA Primary

Addresses

Primary practice location

299 Lincoln St
Suite 201
Worcester, MA 01605-3646

Mailing address

299 Lincoln St
Suite 201
Worcester, MA 01605-3646
Phone (508) 852-2001

Other identifiers 1

IdentifierTypeStateIssuer
110055368AMedicaidMA

National Provider Directory

National Provider Directory

Locations

299 Lincoln St
Ste 201
Worcester, MA 01605
Phone (508) 852-2001

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1184179145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 LINCOLN ST",
            "address_2": "SUITE 201",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053646",
            "telephone_number": "508-852-2001",
            "fax_number": "508-852-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 LINCOLN ST",
            "address_2": "SUITE 201",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053646",
            "telephone_number": "508-852-2001",
            "fax_number": "508-852-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M SHENKO, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "CASSELL",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "508-852-2001"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "MA",
            "license": "80130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110055368A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.