Individual provider Active NPI

Christopher McShan

  • Multi-Specialty Clinic/Center
  • Altamonte Springs, FL
National Provider Identifier
1194550970
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
E04376 Issued in FL
Practice address
1180 Spring Centre South Blvd Ste 221
Altamonte Springs, FL 32714-1955
Phone
(321) 297-5003
NPI assigned
Sep 3, 2024
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X E04376 FL Primary

Addresses

Primary practice location

1180 Spring Centre South Blvd Ste 221
Altamonte Springs, FL 32714-1955

Mailing address

2531 Sugarsand CT
Apopka, FL 32712-5040
Phone (321) 297-5003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E04376FLMDMulti-Specialty Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Zodiac Institute CurrentSince Sep 8, 2024 Accepting new patients
McShan Medical LLC Current Accepting new patients

Locations

1180 Spring Centre South Blvd
Ste 221
Altamonte Springs, FL 32714
Phone (321) 297-5003

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1194550970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 SUGARSAND CT",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327125040",
            "telephone_number": "321-297-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 SPRING CENTRE SOUTH BLVD STE 221",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327141955",
            "telephone_number": "321-297-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSHAN",
        "first_name": "CHRISTOPHER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "E04376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.