Active NPI
Gary Edward Shanks, MD
- Anesthesiology Physician
- Marble Falls, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- N0454
- Practice address
- 810 W Highway 71
Marble Falls, TX 78654-8602 - Phone
- (830) 201-8000
- Fax
- (830) 201-8008
- NPI assigned
- Dec 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 32799 | IA | |
| Anesthesiology Physician | 207L00000X | N0454 | TX | Primary |
Addresses
Primary practice location
810 W Highway 71
Marble Falls, TX 78654-8602
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0196691 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19179 Blanco Rd
105 171
San Antonio, TX 78258-4042
Phone (210) 614-0180
6201 Harry Hines Blvd
Dallas, TX 75390-9201
Phone (214) 645-2353
Hospital & facility affiliations
- Ut of Texas Southwestern University Hospital - William P. Clements Jr.
- South Texas Spine and Surgical Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Texas Anesthesia Group PLLC | Anesthesiology | Current | Accepting new patients |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Arizona - Nogales | Anesthesiology | Current | Accepting new patients |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Sound Physicians Anesthesiology of Texas PLLC | Anesthesiology | Current | Accepting new patients |
| University of Texas Southwestern Medical Center at Dallas | Anesthesiology | Current | Accepting new patients |
Locations
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396
6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700
3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
2001 W Rosedale St
Ft Worth, TX 76104
Phone (817) 877-4777
19010 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 575-0355
18600 Hardy Oak Blvd
San Antonio, TX 78258
Phone (210) 404-0800
19179 Blanco Rd
#105171
San Antonio, TX 78258
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- San Antonio, TX
- NPI 1427435387
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1295356277
-
- Certified Registered Nurse Anesthetist
- Tucson, AZ
- NPI 1487251799
Anesthesiology
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Diagnostic Radiology Physician
- Dallas, TX
- NPI 1972579365
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1295890093
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1285798918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639612800000",
"number": "1275519985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658",
"telephone_number": "254-724-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 W HIGHWAY 71",
"city": "MARBLE FALLS",
"state": "TX",
"postal_code": "786548602",
"telephone_number": "830-201-8000",
"fax_number": "830-201-8008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANKS",
"first_name": "GARY",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-15",
"last_updated": "2021-12-16",
"certification_date": "2021-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IA",
"license": "32799",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "N0454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0196691",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marble Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.