Shawn David McQuilkin, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

176177-1205 Issued in UT

Practice address

Wsu Student Health Center
1128 University Circle
Ogden, UT 84408-1128

Phone

(801) 626-6459

Fax

(801) 626-7786

NPI assigned

Mar 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265559595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 WASATCH DR",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844031422",
            "telephone_number": "801-475-5017",
            "fax_number": "801-475-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WSU STUDENT HEALTH CENTER",
            "address_2": "1128 UNIVERSITY CIRCLE",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844081128",
            "telephone_number": "801-626-6459",
            "fax_number": "801-626-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUILKIN",
        "first_name": "SHAWN",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "176177-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN OGDEN",
            "identifier": "000001352",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "176177 1205",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sofia McMurdie
• Jennifer Redford McMurtrey, D.D.S.
• Matthew Ryan McNaughton, MD
• Heather K McOmber, PT
• Seann McQuarter
• Mdsi Physician Group, Inc.
• Phillip Meacham
• Mecham Chiropractic, Inc.
• Allan L Mecham, D.C.
• Ariel Mecham

• Internal Medicine Physician in Ogden, UT
• Providers in Ogden, UT by specialty
• Internal Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.