Active NPI
George Paul Shaughness, M.D.
- Diagnostic Radiology Physician
- Tampa, FL
National Provider Identifier
1306811153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME50101
- Practice address
- 4516 N Armenia Ave
Tampa, FL 33603 - Phone
- (813) 348-6951
- Fax
- (813) 348-6999
- NPI assigned
- Feb 22, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | ME50101 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | ME50101 | FL | Primary |
Addresses
Primary practice location
4516 N Armenia Ave
Tampa, FL 33603
Mailing address
PO Box 403444
Atlanta, GA 30384-3444
Phone (813) 348-6951
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376070700 | Medicaid | FL | |
| 300063362 | Other | FL | RR MCR |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Networks
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270080000000",
"number": "1306811153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 403444",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303843444",
"telephone_number": "813-348-6951",
"fax_number": "813-348-6999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4516 N ARMENIA AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "33603",
"telephone_number": "813-348-6951",
"fax_number": "813-348-6999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAUGHNESS",
"first_name": "GEORGE",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2010-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME50101",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME50101",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "376070700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "300063362",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.